Shirasawa B, Sugi K, Seyama A, Kaneda Y, Oga A, Esato K
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Dec;44(12):2187-90.
A 68-year-old woman was admitted to our hospital with a left anterior chest wall tumor. A percutaneous needle biopsy was performed, leading to a pathological diagnosis of pleomorphic rhabdomyosarcoma. A wide en bloc excision of the left anterior chest wall was performed, including the left sixth and seventh ribs. The defect of the chest wall was closed with Marlex mesh. Postoperative adjuvant chemotherapy (CYVADIC) was administered. The patient remained free of local recurrence two years after surgery. We conclude that wide en block excision and close follow-up are important in the management of rhabdomyosarcoma of the chest wall because of a high risk of recurrence.
一名68岁女性因左前胸壁肿瘤入住我院。进行了经皮针吸活检,病理诊断为多形性横纹肌肉瘤。对左前胸壁进行了广泛整块切除,包括左第六和第七肋骨。胸壁缺损用Marlex网片封闭。术后给予辅助化疗(CYVADIC方案)。患者术后两年无局部复发。我们得出结论,由于复发风险高,广泛整块切除和密切随访在胸壁横纹肌肉瘤的治疗中很重要。