[Leiomyosarcoma of the chest wall].
An unusual case of a primary leiomyosarcoma of the chest wall is presented. The patient was a 41-year-old man and had no symptoms. The chest x-ray showed a tumor with mediastinal involvement. A percutaneous needle biopsy indicated that it was histologically a leiomyosarcoma. Wide en bloc excision of the chest wall was done, including much of the third, fourth and fifth ribs and a piece of lung. The defect was closed with GORE-TEX soft tissue patch. There were three courses of chemotherapy added, but the patient had a local recurrence, which was resected again, two years after the first surgery. It may be thought that wide en bloc excision and closely follow-up are important in the management of a leiomyosarcoma of the chest wall because of its high recurrence rate.
Togashi
K
K
Division of Thoracic and Cardiovascular Surgery, Nagaoka Red Cross Hospital, Niigata, Japan.
Yazawa
M
M
Sato
Y
Y
D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012086:Reoperation; D013899:Thoracic Neoplasms / Q000601:surgery*