Case of Mesenchymal Hamartoma of Chest Wall in Neonate

  • Sawai Toshio
    Division of Pediatric Surgery, Department of Surgery, Kinki University Faculty of Medicine
  • Maekawa Shohei
    Division of Pediatric Surgery, Department of Surgery, Kinki University Faculty of Medicine
  • Yoshida Hideki
    Division of Pediatric Surgery, Department of Surgery, Kinki University Faculty of Medicine
  • Yagi Makoto
    Division of Pediatric Surgery, Department of Surgery, Kinki University Faculty of Medicine

Bibliographic Information

Other Title
  • 新生児胸壁間葉性過誤腫の1例
  • 症例報告 新生児胸壁間葉性過誤腫の1例
  • ショウレイ ホウコク シンセイジ キョウヘキ カンヨウセイ カゴ シュ ノ 1レイ

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Description

A case of mesenchymal hamartoma of the chest wall in a 0-day-old female neonate is reported. The baby was vaginally delivered following an unremarkable prenatal course. Computed tomography revealed that the tumor originated from the posterior part of the left 6th rib and with a bony outer shell. This tumor was suspected as osteochondroma, and was progressively growing and should then be considered malignant. Total resection of the tumor with the posterior portion of the 6th rib was performed. A prosthetic material was not used to close the chest wall defect. The histopathological diagnosis was mesenchymal hamartoma of the chest wall from the rib. Neither recurrence nor scoliosis was observed one year after surgery. This tumor is extremely rare; however, its Xp, CT and MRI findings are specific, and it is necessary to consider it when treating chest wall mass lesions in neonates. According to the literature, this tumor should be surgically resected; however, several recent reports revealed that the tumor tends to regress or vanish spontaneously. We discuss the therapeutic strategy and its prognosis in this report.

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