A Case of Extraskeletal Chondrosarcoma Metastatic to the Lung Detected 13 Years after Resection

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  • Hirayama Masakiyo
    Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
  • Uetake Kenji
    Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
  • Suzuki Toshio
    Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
  • Kudoh Shoji
    Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
  • Kimura Hitoshi
    Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital
  • Suzuki Kenzo
    Department of Radiology, Tokyo Metropolitan Komagome Hospital
  • Ikeda Takaaki
    Department of Radiology, Tokyo Metropolitan Komagome Hospital
  • Sakai Tadaaki
    Department of Radiology, Tokyo Metropolitan Komagome Hospital
  • Sakai Shoji
    Department of Radiology, Tokyo Metropolitan Komagome Hospital
  • Fukayama Masashi
    Department of Thoracic Surgery and Tokyo Metropolitan Komagome Hospital
  • Koike Morio
    Department of Pathology Tokyo Metropolitan Komagome Hospital

Bibliographic Information

Other Title
  • 摘出１３年後に肺転移を認めたＥｘｔｒａｓｋｅｌｅｔａｌ　ｃｈｏｎｄｒｏｓａｒｃｏｍａの１例

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Abstract

A 48-year-old male patient was admitted to our hospital. In 1968 he underwent surgical resection of a left axillary soft tissue tumor, 6.0×5.2×3.4 cm in size, which was diagnosed as extraskeletal chondrosarcoma. He had been well since but in 1981 a small nodular lesion, containing calcifications, was found on the chest X-ray film in the right middle lung field. Anti-tuberculosis therapy was continued for six months without success, and he was referred to our hospital. Metastasis was suspected and segmentectomy of right S-4 which contained the tumor was performed. The histopathological findings were identical to those of the tumor removed in 1968. The doubling time was about 4.5 years. Extraskeletal chondrosarcoma is a rare tumor and remote metastasis may develop after a long interval. Nevertheless, there are few cases like ours in which metastasis occurred as long as over ten years after the first operation. In such cases a differential diagnosis is extremely important.

Journal

  • Haigan

    Haigan 24 (3), 325-330, 1984

    The Japan Lung Cancer Society

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