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題名 | Chest Wall Rhabdomyosarcoma--A Case Report=胸壁橫紋肌瘤--一病例報告 |
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作者 | 張光照; 彭明仁; 陳培然; 劉洪彰; 曾歧元; | 書刊名 | 胸腔醫學 |
卷期 | 17:4 2002.12[民91.12] |
頁次 | 頁402-407 |
分類號 | 415.138 |
關鍵詞 | 胸壁腫瘤; 橫紋肌瘤; 胸痛; Chest wall tumor; Rhabdomyosarcoma; Chest pain; |
語文 | 英文(English) |
中文摘要 | 胸壁腫瘤常常以緩慢增大的腫塊表現,造成胸部局部疼痛。將近有六成的胸壁腫瘤是惡性的。 橫紋肌瘤是罕見且高度惡性的腫瘤,經常對放射治療產生耐受性,外科切除合併化學治療可以產生最佳的效果。 我們報告一位56歲的男性,主訴有20天的漸歇性胸痛,疼痛會伴隨著身體的運動而加劇。理學檢查發現,在右前胸第六及第七肋間,有輪廓不清的突出腫塊。血液學檢查及肺功能都在正常範圍。X光顯示右下胸壁有橢圓形鈣化。藉由超音波導引的經皮穿刺抽取細胞檢查,高度懷疑是惡性間皮瘤。在進行外科切除胸壁病灶及肺部楔形切除後,病理切片及特殊染色報告顯示,此腫瘤為橫紋肌瘤。 |
英文摘要 | Chest wall tumors usually present as a slowly enlarging mass causing localized dull pain. Approximately 60% are malignant. Rhabdomyosarcomas are rare and highly malignant tumors sometimes found on the chest wall. They are relatively radioresistant; surgical resection should be combined with adjuvant chemotherapy to achieve the best survival. We report a 56-year-old patient presenting with intermittent chest pain related to movement lasting for 20 days. The physical examination revealed an ill-defined protruding soft tissue mass located on the right anterior chest wall between the 6th and 7th intercostals space. Chest X-ray showed an oval-shaped calcification in the lower right chest wall. Echo-guided needle aspiration was performed. The cytologic examination was highly suggestive of a malignant mesothelioma, and the pathologic examination revealed vimention-positive sarcoma. After the surgical removal of the chest wall lesion, and a wedge resection of the lung, the final pathologic diagnosis was rhabdomyosarcoma. Chest wall sarcomas, therefore, should be considered in those who suffer from intermittent chest pain, although they are uncommon. |
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