A Rare Case of Primary Intercostal Leiomyoma: Complete Resection Followed by Reconstruction Using a Gore-Tex® Dual Mesh

Nakada, Takeo; Akiba, Tadashi; Morikawa, Toshiaki; Ohki, Takao

doi:10.5761/atcs.cr.12-02242

Cited by 10 publications

(10 citation statements)

References 14 publications

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“…Kanlioglu et al mentioned a chest wall leiomyoma case who had a mass which destroyed the seventh rib [3]. Nakada et al presented a case report in which a leiomyoma originated from the chest wall and grew into the chest wall [4]. Other case presentations had radiological findings similar to our case and all of them, regardless of origin reported a mass growth into the intrathoracic space.…”

Section: Discussionsupporting

confidence: 63%

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Chest Wall Leiomyomas: A Case Report and Review of the Literature

2016

Ann Clin Anal Med

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ÖzetLeiomyomlar düz kaslardan köken alan benign yumuşak doku tümörleridir. Plevra ve göğüs duvarı bu tümörler için nadir lokalizasyonlardır. Göğüs duvarında yerleş-miş leiomyomalar, parietal plevranın subplevral bağ dokusundan başlayıp cilt altı dokuya kadar olan göğüs duvarı bölgesinde bulunan düz kaslardan köken alabilir. Literatürde bu tümörler "plevral leiyomyom" veya "chest wall leiyomyom" şeklinde farklı iki isimle tanımlanmışlardır. İster subplevral bağ dokusundan köken alsın, isterse göğüs duvarındaki diğer yapılardan köken alsın her iki grupta benzer radyolojik bulgulara sahiptir ve bu tümörlerin tam olarak nereden köken aldığını tespit edebilmek zordur. Parietal plevranında göğüs duvarının bir parçası olduğu kabul edildiğine göre, bu tümörlerin sadece "göğüs duvarı leiomyomu" olarak adlandırıl-masının her iki grubu da kapsayacağını düşünmekteyiz. Olgu sunumunda, 56 yaşında erkek hastada sol hemitoraksta yer kaplayan kitle lezyonu tespit edildi. Rezeksiyon uygulanan hastanın patolojik incelemesinde kitlenin göğüs duvarı leiomyomu olduğu tespit edildi. Olgu, literatür özeti ile birlikte sunulmuştur. Anahtar KelimelerLeiomyom; Göğüs Duvarı; Plevra; Benign Abstract Leiomyomas are benign soft tissue tumors that originate in the smooth muscles. Pleura and chest wall are uncommon location for such tumors. Leiomyomas located in the chest wall may originate from smooth muscles of the chest wall region beginning from the subpleural connective tissue of the parietal pleura, to the subdermal tissue. These tumors have been defined in literature using two different terms: "pleural leiomyoma" and "chest wall leiomyoma". Both possess similar radiological signs independent from the tissue from which they originate, which are either subpleural connective tissue or other structures in the chest wall. It is therefore difficult to make a clear determination of the tissue from which they originate. Parietal pleura is also accepted as a part of the chest wall, and thus, in our opinion, the term "chest wall leiomyoma" can be described as comprising both groups. The current study presents a 56-year-old male patient who had a spaceoccupying mass in the left hemi-thorax. After resection of the mass, pathological examination diagnosed it as chest wall leiomyoma.

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Section: Discussionsupporting

confidence: 63%

“…Kanlioglu et al presented two cases, both of them requiring chest wall resection and reconstruction [3]. Additionally, in the case reports of both Nakada et al and Proca et al, the authors completely resected the tumor with chest wall resection [4,8]. The prognosis is fairly good for patients in whom tumors have been completely resected.…”

Section: Discussionmentioning

confidence: 99%

Chest Wall Leiomyomas: A Case Report and Review of the Literature

2016

Ann Clin Anal Med

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“…Pleural tumors tend to grow locally toward the intrathoracic cavity [ 15 ]. There is not a single case reported in the literature showing that these tumors did metastasize.…”

Section: Discussionmentioning

confidence: 99%

Smooth Muscle Tumor Originating in the Pleura: A Case Report and Updated Literature Review

Zarubin

Rathnakumar

et al. 2016

Case Reports in Oncological Medicine

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Smooth muscle tumors (SMTs) of the pleura are exceptionally rare. At present and to the best of these authors' knowledge, there are only 17 cases reported in the literature. We describe a case of a 51-year-old woman who complained of left sided pleuritic chest pain. Further, computed tomography (CT) revealed a left sided localized pleural-based mass involving the 9th rib. She underwent an interventional radiology guided percutaneous core biopsy of the lesion, which disclosed a “Smooth Muscle Tumor of Undetermined Malignant Potential (SMT-UMP).” A video-assisted thoracoscopic surgery (VATS) was performed for diagnosis and treatment purposes. Resections of the pleural-based mass and 9th rib were performed. SMT-UMP was the definitive diagnosis.

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“…These tumors, including our case, may have arisen from mesodermal cells that have acquired the capacity to differentiate along smooth muscle lines. 3,4) Then, we considered that the origin of this leiomyoma was the mediastinal parietal pleura as previously reported. 5) The CT, MRI, and PET findings can reveal the tumor size, location, level of vascularization, and anatomic relationships.…”

Section: Discussionmentioning

confidence: 99%