[Primary tumor of the thoracic wall unusual in aged patients: costal osteosarcoma].
Osteosarcoma is a tumour that is encountered in children and young adults but is exceptional in elderly people. Moreover, it is very rarely located in the chest. A case of costal osteosarcoma revealed by a pleural blood effusion is reported in a 66-year old male patient. Full surgical excision completed by parietal reconstruction was performed. The diagnosis of osteosarcoma was definitely confirmed at pathological examination. A few months later, a local recurrence associated with ipsilateral lung metastasis, was discovered and the patient was put on chemotherapy. The clinical, radiological and therapeutic aspects of this case are discussed.
Arbib
F
F
Service de Pneumologie, Hôpital d'Instruction des Armées Desgenettes, Lyon.
Thevenet
F
F
Gamondes
J P
JP
Heyraud
J D
JD
Gontier
C
C
Loire
R
R
D000367:Age Factors; D000368:Aged; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D012516:Osteosarcoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology; D012272:Ribs; D013899:Thoracic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Une tumeur primitive de la paroi thoracique inhabituelle chez le sujet âgé: l'ostéosarcome costal.