A CASE OF A DESMOID TUMOR OF THE CHEST WALL DEVELOPED AFTER THE RESECTION OF A PULMONARY TUMOR

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  • ARIMURA Takaaki
    Department of Thoracic Surgery, Nagano Municipal Hospital
  • NISHIMURA Hideki
    Department of Thoracic Surgery, Nagano Municipal Hospital
  • HAMANAKA Kazutoshi
    Department of Surgery, Division of Thoracic Surgery, Shinshu University School of Medicine
  • KONDO Ryoichi
    Department of Surgery, Division of Thoracic Surgery, Shinshu University School of Medicine
  • YOSHIDA Kazuo
    Department of Surgery, Division of Thoracic Surgery, Shinshu University School of Medicine
  • AMANO Jun
    Department of Surgery, Division of Thoracic Surgery, Shinshu University School of Medicine

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Other Title
  • 肺腫瘍切除術後に発生した胸壁デスモイド腫瘍の１例

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The patient was a man in his twenties who had been diagnosed as having choriocarcinoma in 2005. He had multiple hepatic metastases, multiple lung metastases, and retroperitoneal lymph node swelling, and received chemotherapy. Following the chemotherapy multiple hepatic metastases disappeared, but multiple lung metastases and retroperitoneal lymph node swelling were left, for which partial lung resection followed by pleurodesis and closure of a right pulmonary fistula were performed in April 2006. In June 2006 retroperitoneal lymph node dissection was done. Thereafter he had been free from recurrence, however, chest x-ray examination and chest CT scan disclosed a tumor of the right chest wall in February 2008. A metastatic chest well tumor was suggested and the tumor was removed in May 2008. The removed material which was a white solid tumor showed no histological findings suggestive of metastasis of choriocarcinoma, and thus chest wall desmoids tumor was diagnosed. A part of the surgical margin was positive.<BR>Desmoid tumors predominantly affect the abdomen and rarely the chest wall. The tumors recur locally in a high frequency, so that irradiation therapy for prevention of the recurrence is scheduled for the patient.

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