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Epithelioid sarcoma in the chest wall: a case report and literature review
BACKGROUND: Epithelioid sarcoma (ES) is a rare variant of soft tissue sarcoma. The proximal type of ES occurs in various locations. We present a resected case with proximal-type ES that occurred in the chest wall and discuss the relevant literature. CASE PRESENTATION: A 47-year-old woman was referre...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045564/ https://www.ncbi.nlm.nih.gov/pubmed/30006912 http://dx.doi.org/10.1186/s40792-018-0483-7 |
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author | Sakurai, Teiko Kusumoto, Hidenori Wakasa, Tomoko Ohta, Yoshio Konishi, Eiichi Shiono, Hiroyuki |
author_facet | Sakurai, Teiko Kusumoto, Hidenori Wakasa, Tomoko Ohta, Yoshio Konishi, Eiichi Shiono, Hiroyuki |
author_sort | Sakurai, Teiko |
collection | PubMed |
description | BACKGROUND: Epithelioid sarcoma (ES) is a rare variant of soft tissue sarcoma. The proximal type of ES occurs in various locations. We present a resected case with proximal-type ES that occurred in the chest wall and discuss the relevant literature. CASE PRESENTATION: A 47-year-old woman was referred for a 6-month history of a right anterior chest mass with tenderness. Chest computed tomography showed an invasive chest wall mass with calcification surrounding the third rib. Aspiration biopsy cytology suggested malignancy. We performed wide resection, including the middle part of the pectoralis major muscle, the pectoralis minor muscle, the third and fourth ribs, and reconstruction of the chest wall, using a 2-mm polytetrafluoroethylene patch. Severe deformation of the chest wall was avoided. Postoperative physical therapy of the shoulder was effective for the continuous pain and weakness of the arm. She has remained alive for 1 year and 10 months without recurrence. Our literature review showed five previously reported cases of ES in the chest wall, and all of these were surgically resected. Two of these patients suffered from frequent local recurrence and died of disease. CONCLUSIONS: ES in the chest wall is rare. Previous reports have indicated that surgical resection with tumor-free margins is essential for treatment. We performed complete resection of the tumor in our case, and a polytetrafluoroethylene patch was effective for reconstructing the deficit in the chest wall. |
format | Online Article Text |
id | pubmed-6045564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-60455642018-07-30 Epithelioid sarcoma in the chest wall: a case report and literature review Sakurai, Teiko Kusumoto, Hidenori Wakasa, Tomoko Ohta, Yoshio Konishi, Eiichi Shiono, Hiroyuki Surg Case Rep Case Report BACKGROUND: Epithelioid sarcoma (ES) is a rare variant of soft tissue sarcoma. The proximal type of ES occurs in various locations. We present a resected case with proximal-type ES that occurred in the chest wall and discuss the relevant literature. CASE PRESENTATION: A 47-year-old woman was referred for a 6-month history of a right anterior chest mass with tenderness. Chest computed tomography showed an invasive chest wall mass with calcification surrounding the third rib. Aspiration biopsy cytology suggested malignancy. We performed wide resection, including the middle part of the pectoralis major muscle, the pectoralis minor muscle, the third and fourth ribs, and reconstruction of the chest wall, using a 2-mm polytetrafluoroethylene patch. Severe deformation of the chest wall was avoided. Postoperative physical therapy of the shoulder was effective for the continuous pain and weakness of the arm. She has remained alive for 1 year and 10 months without recurrence. Our literature review showed five previously reported cases of ES in the chest wall, and all of these were surgically resected. Two of these patients suffered from frequent local recurrence and died of disease. CONCLUSIONS: ES in the chest wall is rare. Previous reports have indicated that surgical resection with tumor-free margins is essential for treatment. We performed complete resection of the tumor in our case, and a polytetrafluoroethylene patch was effective for reconstructing the deficit in the chest wall. Springer Berlin Heidelberg 2018-07-13 /pmc/articles/PMC6045564/ /pubmed/30006912 http://dx.doi.org/10.1186/s40792-018-0483-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Sakurai, Teiko Kusumoto, Hidenori Wakasa, Tomoko Ohta, Yoshio Konishi, Eiichi Shiono, Hiroyuki Epithelioid sarcoma in the chest wall: a case report and literature review |
title | Epithelioid sarcoma in the chest wall: a case report and literature review |
title_full | Epithelioid sarcoma in the chest wall: a case report and literature review |
title_fullStr | Epithelioid sarcoma in the chest wall: a case report and literature review |
title_full_unstemmed | Epithelioid sarcoma in the chest wall: a case report and literature review |
title_short | Epithelioid sarcoma in the chest wall: a case report and literature review |
title_sort | epithelioid sarcoma in the chest wall: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6045564/ https://www.ncbi.nlm.nih.gov/pubmed/30006912 http://dx.doi.org/10.1186/s40792-018-0483-7 |
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