術後30年を経た右胸郭成形部に急速増大した胸壁血腫の1手術例

DOI Web Site 被引用文献1件

書誌事項

タイトル別名
  • A CASE OF RAPIDLY ENLARGED HEMATOMA IN THE CHEST WALL GROWING AT THE THORACOPLASTIC REGION OF 30 YEARS AGO

この論文をさがす

抄録

A 62-year-old man, with rapidly growing chest wall mass at the right axillar region, was admitted to our hospital for the diagnosis and treatment. He underwent right thoracoplasty for pulmonary tuberculosis when he was 32 years old. After admission, he happened to complain of pain and numbness in his right arm, which was caused by oppression by the mass to the axillar nerves. Various examinations, even needle aspiration biopsy, could not make a definite diagnosis. He underwent resection of the mass from the chest wall, because it rapidly enlarged and a possibility of tumor could not be denied. The resected mass chiefly consisted of a hematoma pathologically. Histologically, the hematoma contained organized granulation with remarkable necrosis, inflammation and capillary increase. The origin of hemorrhage was attributed to a localized tuberculous empyema which had remained for 30 years after thoracoplasty, because CT and operative findings revealed that the hematoma had grown from the inside of regenerated ribs, and there were some findings of tuberculous empyema such as tuberculoid granuloma in the axillar lymph nodes and the callosum over the lung surface. It was supposed that the brakedown of regenerated capillaries and bleeding, which was induced by inflammation and necrosis, had promoted the growth of the hematoma. Some considerations are also added to the specific type of empyema, which forms a large hematoma and may have some association with this case.

収録刊行物

被引用文献 (1)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ