title: [A resected case of malignant fibrous histiocytoma of the chest wall].
abstract: We report a 74-year-old woman with malignant fibrous histiocytoma (MFH), treated successfully by radiation and followed with chest wall resection and reconstruction. The patient suffered from right back pain and her chest X-ray showed a clear round shadow in the middle field of the right lung. Chest computed tomography (CT) showed a 5 x 5 cm tumor in diameter, involving the right 8 rib with destructive changes. After radiation therapy of total 30 Gy to the tumor to obtain the safety surgical margin, we widely resected 10 x 9 cm chest wall with 3 ribs in area under thoracoscopy and performed reconstruction using GORE-TEX Soft Tissue Patch. The pathological and immuno-histochemical diagnosis showed pleomorphic type of MFH. Final result of the tumor negative in surgical margin manifested that our technique of chest wall resection and reconstruction using thoracoscope after the irradiation to the tumor was very safe and useful.
authors.affiliation: Department of Thoracic Surgery, Yonago National Hospital, Yonago, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Miwa
authors.forename: H
authors.initials: H
authors.lastname: Nakamura
authors.forename: H
authors.initials: H
authors.lastname: Fukui
authors.forename: M
authors.initials: M
authors.lastname: Ikeda
authors.forename: K
authors.initials: K
authors.lastname: Furuse
mesh_terms: D000368:Aged; D005260:Female; D018219:Histiocytoma, Benign Fibrous / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D019651:Plastic Surgery Procedures / Q000379:methods*; D013899:Thoracic Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D019616:Thoracic Surgical Procedures; D035441:Thoracic Wall / Q000601:surgery*
chemical_list: D011138:Polytetrafluoroethylene