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タイトル: | <Clinical Studies>A Case of Liposarcoma Originating in the Chest Wall |
その他のタイトル: | <臨床>前胸壁原発脂肪肉腫の1例 |
著者: | URABE, MOTOMICHI MIZOBUCHI, NOBORU FUNABIKI, HITOSHI SEKI, EIICHIRO OKADA, TSUYOSHI SAKAKIBARA, NOBORU |
著者名の別形: | ト部, 元道 溝渕, 昇 船曳, 均 関, 英一郎 岡田, 豪 榊原, 宣 |
キーワード: | Liposarcoma Chest wall 脂肪肉腫 胸壁 |
発行日: | 1-Nov-1995 |
出版者: | 京都大学医学部外科整形外科学教室内 日本外科宝函編集室 |
誌名: | 日本外科宝函 |
巻: | 64 |
号: | 6 |
開始ページ: | 131 |
終了ページ: | 138 |
抄録: | We encountered and reported one such rare case of liposarcoma which originated in the chest wall. A 60-year-old man came to our hospital with the chief complaint of a phyma in the right anterior chest wall. On palpation, a hard and non-mobile phyma measuring 3×3 cm was felt in the chest wall. Chest CT showed a phyma measuring 2. 2×1. 5 cm in the right anterior chest. The periphery of the phyma was smooth, and had a well-defined boundary with the surrounding tissues. Ultrasonic examination revealed that the tumor existed between the major and minor pectoral musdes. The inside of the tumor was nearly uniform, and showed low echo. Punctured cytological examination revealed scattered atypical cells with spindle, foamy or vacuolar sporophores on the mucoid matrix. A fat staining examination revealed lipoblasts with oil red-positive granules. Based on these findings, the patient was diagnosed as having myxoid type liposarcoma. Operation consisted of resection of the skin, subcutaneous tissues, mammary gland, part of major and minor pectoral muscles, the fourth and fifth ribs and pleura. The Reconstruction of the chest wall was performed for defects in the ribs and pleura using Marlex Mesh. Histopathological findings revealed that the tumor was myxoid type liposarcoma. |
URI: | http://hdl.handle.net/2433/203599 |
PubMed ID: | 8913089 |
出現コレクション: | 第64巻 第6号 |
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