title: Treatment of a recurrent chest wall desmoid tumor using a CT-guided steroid injection.
abstract: We report on a 41-year-old woman with a chest wall desmoid tumour who was successfully treated with a computed tomography (CT)-guided steroid injection. She presented with a palpable mass in the right upper chest wall and was treated by surgical excision and postoperative radiation therapy due to recurrence of the mass at the surgical site. At 20 months after the second operation, a recurrent mass was again detected in the anterosuperior portion of the previous surgical site on CT. We performed a CT-guided steroid injection weekly for 4 weeks by applying a mixture of 3 mL of triamcinolone acetonide (40 mg/mL) and 3 mL of 1% Lidocaine, administering 4-6 mL of the mixture, to the lesion. Six months later, CT showed a marked decrease in the size of the mass.
authors.affiliation: Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon 420-767, Korea.
authors.forename: Sun Jung
authors.initials: SJ
authors.lastname: Rhee
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Paik
authors.forename: Hwa Kyoon
authors.initials: HK
authors.lastname: Shin
authors.forename: Jai Soung
authors.initials: JS
authors.lastname: Park
authors.forename: Eun Hye
authors.initials: EH
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D018222:Desmoid Tumors / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D015641:Radiography, Interventional; D012008:Recurrence; D035441:Thoracic Wall / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014221:Triamcinolone / Q000627:therapeutic use*
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone; D008012:Lidocaine