scholarly journals Chest wall pseudotumor: a case of non-tuberculous mycobacterial infection

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yutaka Shishido ◽  
Hiroshi Hamakawa ◽  
Kazuhiro Minami ◽  
Shigeo Hara ◽  
Yutaka Takahashi
Keyword(s):  
Chest Wall ◽  
Tumor Resection ◽  
Public Health Problem ◽  
Surgical Excision ◽  
Mycobacterial Infection ◽  
Epithelioid Cell ◽  
Thoracic Wall ◽  
Chest Wall Tumor ◽  
En Bloc ◽  
The Right

Abstract Background Non-tuberculous mycobacterial (NTM) infections are increasing worldwide, making them an international public health problem. Surgical management is often indicated for localized infectious disease; however, most surgeons are unaware of the potential risks of transmission during surgery. Case presentation An 88-year-old Asian female was referred to our hospital for a tumor in the right lateral thoracic region. One month prior, she had a feeling of fullness and complained of localized pain and warmth in the right lateral thoracic wall. Pain and warmth gradually resolved without intervention; however, the fullness was getting worse. Computed tomography (CT) scan showed a mass of approximately 65 × 30 mm with an osteolytic change, involving the right 8th rib. Based on the rapid growth rate and CT findings, we strongly suspected a malignant chest wall tumor, and en bloc tumor resection with the 8th rib was performed. When the specimen was cut, a large amount of viscous pus was drained and its culture showed growth of Mycobacterium avium. Microscopically, the non-caseating epithelioid cell granuloma extended into the rib, infiltrating the bone cortex. On follow-up 1 month after discharge, there were no signs of infection or other adverse events associated with the surgery. Conclusions Herein, we report about a patient with a mass diagnosed as an NTM abscess involving the rib cage, which was confused with a malignant tumor and eventually diagnosed following surgical excision. This report emphasizes the need to be aware of the possibility of NTM infection and take appropriate precautions if the patient has a rapidly growing mass in the chest wall.

scholarly journals Mohs Micrographic Surgery Peripheral Margin Control Prior to En Bloc Tumor Resection: A Report of Three Cases

2018 ◽  
Vol 2 (1) ◽  
pp. 49-53
Author(s):  
Daniel Bernstein ◽  
Sara Giddings ◽  
Hooman Khorasani
Keyword(s):  
Plastic Surgery ◽  
Tumor Resection ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
En Bloc ◽  
Facial Plastic Surgery ◽  
Facial Plastic ◽  
Tumor Extirpation ◽  
The Right ◽  
Margin Control

Background: Mohs micrographic surgery (MMS) is an important part of non-melanoma skin cancer (NMSC) management but may even be useful for tumors that cannot be cleared in an office setting.  There are sparse reports of MMS for peripheral margin control in the dermatology literature but various techniques have been reported.Case 1: 58-year-old male with morpheaform basal cell carcinoma of the left midface treated with MMS peripheral margin control followed by facial plastic surgery central tumor extirpation and defect repair.Case 2: 56-year-old female with recurrent morpheaform BCC of the scalp treated with MMS peripheral margin control followed by facial plastic surgery central tumor extirpation and defect repair.Case 3: 73-year-old male with multiply recurrent SCC of the right lower extremity treated with MMS peripheral margin control followed by above the knee amputation.Conclusions:  MMS peripheral margin control followed by central tumor extirpation and defect reconstruction at a later date in the operating room is an option for deeply invasive, large and aggressive NMSC.  Benefits include decreased time under general anesthesia and superior rates of tumor clearance.  In the interim, the peripheral defect between the central tumor and healthy outer tissue can be sutured closed to decrease patient morbidity.

Open en bloc chest wall resection including three ribs and the right lower lobe for T3 lung cancer

ASVIDE ◽  
2020 ◽  
Vol 7 ◽  
pp. 24-24
Author(s):  
Dany Balke ◽  
Varun Gupta ◽  
Stefan Welter
Keyword(s):  
Lung Cancer ◽  
Chest Wall ◽  
Lower Lobe ◽  
Chest Wall Resection ◽  
En Bloc ◽  
The Right

scholarly journals A Case of “en bloc” Excision of a Chest Wall Leiomyosarcoma and Closure of the Defect with Non-Cross-Linked Collagen Matrix (Egis®)

2016 ◽  
Vol 9 (3) ◽  
pp. 655-660 ◽  
Author(s):  
Marco Rastrelli ◽  
Saveria Tropea ◽  
Romina Spina ◽  
Alessandra Costa ◽  
Roberto Stramare ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Tissue Regeneration ◽  
Soft Tissue Sarcomas ◽  
Surgical Excision ◽  
Smooth Muscle Tumor ◽  
Chest Wall Resection ◽  
En Bloc ◽  
Dermal Matrix ◽  
Treatment Protocols

Sarcomas arising from the chest wall account for less than 20% of all soft tissue sarcomas, and at this site, primitive tumors are the most frequent to occur. Leiomyosarcoma is a malignant smooth muscle tumor and the best outcomes are achieved with wide surgical excision. Although advancements have been made in treatment protocols, leiomyosarcoma remains one of the more difficult soft tissue sarcoma to treat. Currently, general local control is obtained with surgical treatment with wide negative margins. We describe the case of a 50-year-old man who underwent a chest wall resection involving a wide portion of the pectoralis major and minor muscle, the serratus and part of the second, third and fourth ribs of the left side. The full-thickness chest wall defect of 10 × 8 cm was closed using a non-cross-linked acellular dermal matrix (Egis®) placed in two layers, beneath the rib plane and over it. A successful repair was achieved with no incisional herniation and with complete tissue regeneration, allowing natural respiratory movements. No complications were observed in the postoperative course. Biological non-cross-linked matrix, derived from porcine dermis, behaves like a scaffold supporting tissue regeneration; it can be successfully used as an alternative to synthetic mesh for chest wall reconstruction.

scholarly journals A CASE REPORT OF FEMUR OSTEOCHONDROMA IN 22 YEARS OLD FEMALE PATIENT

2020 ◽  
Vol 8 (10) ◽  
pp. 1263-1267
Author(s):  
Abdulrahman M. Bin Mohi ◽  
◽  
Ahmed A. Alzahrani ◽  
Bashar R. Reda
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Proximal Femur ◽  
Conflict Of Interest ◽  
Distal Femur ◽  
Tumor Resection ◽  
Surgical Excision ◽  
Low Grade ◽  
The Right ◽  
Hands And Feet

Chondromais considered a nonmalignant tumor that composed of mature hyaline cartilage and commonly occur in hands and feet. Overall incidents show that females are predominant comparing to males with evenly distributed range of ages. Multiple chondromas have to be differentiated from osteochondroma and chondrosarcoma. This paper reports three different types of lesions in one patient.Osteochondroma or exostosis is the most common benign tumor of the skeleton. It is a developmental osseous anomaly, which arises from exophytic outgrowth on bone surfaces characteristically. Osteochondroma account for about 12% of bone tumors. Here, we have described a 22 years old female patient with left knee joint pain and swelling of the left distal femur with limited movements. The incisional biopsy of the left distal femur identified low-grade chondrosarcoma and chondroma after histopathology. This underwent one-stage surgical excision of the tumor with a posterior approach and tumor resection from the femur. After surgery, an unusual pain appears in the right hip joint during the post-operative period.Machine resonance imaging (MRI), and X-ray of pelvis help to diagnose thewell-differentiated chondrosarcoma and chondroma. This was a case of osteochondroma in the right proximal femur, chondroma like lesion in the left proximal femur and chondrosarcoma in the left distal femur. Ethical consideration: Written informed consent was obtained from the patient for publication of this case report and accompanying images. Conflict of interest: There is no conflict of interest.

scholarly journals Frontal sinus adenocarcinoma

2000 ◽  
Vol 118 (4) ◽  
pp. 118-120 ◽  
Author(s):  
Márcio Abrahão ◽  
Ana Paula Vieira Gonçalves ◽  
Roberto Yamashita ◽  
Rogério Aparecido Dedivitis ◽  
Rodrigo Oliveira Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Sinus ◽  
Tumor Resection ◽  
Posterior Wall ◽  
Wood Dust ◽  
Medial Aspect ◽  
En Bloc ◽  
Tissue Mass ◽  
History Of ◽  
The Right

CONTEXT: Paranasal sinus cancer is considered rare, with an incidence of less than 1 per 100,000 per year, with the frontal sinus being the primary site in only 0.3%. We report a case of adenocarcinoma arising in the frontal sinus. DESIGN: Case report. CASE REPORT: A 59-year-old woman, secretary, came in February 1998 with a 4-month history of low intensity frontal headache. She denied contact with wood dust. On examination a non-tender swelling was noted over her right forehead next to the medial aspect of the right orbit. CT scan showed a soft-tissue mass involving frontal sinus with intracranial invasion through the posterior wall. The anterior ethmoid sinus and the medial aspect of the right orbit were also involved. MRI demonstrated dural thickening in communication with the frontal mass. She underwent an en-bloc tumor resection by craniotomy including orbital clearance. Histology revealed an adenocarcinoma. After surgery she had tumor recurrence, and chemotherapy and radiotherapy were started resulting in partial improvement.

Intravital microscopy of the murine pulmonary microcirculation

2008 ◽  
Vol 104 (2) ◽  
pp. 338-346 ◽  
Author(s):  
Arata Tabuchi ◽  
Michael Mertens ◽  
Hermann Kuppe ◽  
Axel R. Pries ◽  
Wolfgang M. Kuebler
Keyword(s):  
Intravital Microscopy ◽  
Surgical Excision ◽  
Thoracic Wall ◽  
Lung Lobe ◽  
Capillary Networks ◽  
Arterial Blood ◽  
Pulmonary Microcirculation ◽  
The Right ◽  
Knockout Animals

Intravital microscopy (IVM) is considered as the gold standard for in vivo investigations of dynamic microvascular regulation. The availability of transgenic and knockout animals has propelled the development of murine IVM models for various organs, but technical approaches to the pulmonary microcirculation are still scarce. In anesthetized and ventilated BALB/c mice, we established a microscopic access to the surface of the right upper lung lobe by surgical excision of a window of 7- to 10-mm diameter from the right thoracic wall. The window was covered by a transparent polyvinylidene membrane and sealed with α-cyanoacrylate. Removal of intrathoracic air via a transdiaphragmal intrapleural catheter coupled the lung surface to the window membrane. IVM preparations were hemodynamically stable for at least 120 min, with mean arterial blood pressure above 70 mmHg, and mean arterial Po2 and arterial Pco2 in the range of 90–100 Torr and 30–40 Torr, respectively. Imaged lungs did not show any signs of acute lung injury or edema. Following infusion of FITC dextran, subpleural pulmonary arterioles and venules of up to 50-μm diameter and alveolar capillary networks could be visualized during successive expiratory plateau phases over a period of at least 2 h. Vasoconstrictive responses to hypoxia (11% O2) or infusion of the thromboxane analog U-46619 were prominent in medium-sized arterioles (30- to 50-μm diameter), minor in small arterioles <30 μm, and absent in venules. The presented IVM model may constitute a powerful new tool for investigations of pulmonary microvascular responses in mice.

scholarly journals A case of chest wall tumor resection with thoracoscopic assistance using a pneumatic high-speed power drill

2017 ◽  
Vol 31 (4) ◽  
pp. 561-565
Author(s):  
Yasuaki Tomioka ◽  
Toshiya Toyazaki ◽  
Naohisa Chiba ◽  
Yuichiro Ueda ◽  
Masashi Gotoh ◽  
...  
Keyword(s):  
Chest Wall ◽  
High Speed ◽  
Tumor Resection ◽  
Chest Wall Tumor ◽  
Power Drill ◽  
Wall Tumor

scholarly journals En bloc resection and reconstruction of a huge chondrosarcoma involving multilevel upper thoracic spine and chest wall: case report

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xiaodong Tang ◽  
Zhenyu Cai ◽  
Ruifeng Wang ◽  
Tao Ji ◽  
Wei Guo
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Thoracic Spine ◽  
Tumor Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Thoracic Cavity ◽  
En Bloc ◽  
Upper Thoracic Spine ◽  
Upper Thoracic

Abstract Background En bloc resection of malignant tumors involving upper thoracic spine is technically difficult. We surgically treated a patient with grade 2 chondrosarcoma involving T1–5, left upper thoracic cavity, and chest wall. Case presentation A 37 years old, male patient was referred to our hospital for a huge lump involved left shoulder and chest wall. In order to achieve satisfied surgical margins, anterior approach, posterior approach, and lateral approach were carried out sequentially. After en bloc tumor resection, the upper thoracic spine was reconstructed with a 3D-printed modular vertebral prosthesis, and the huge chest wall defect was repaired by a methyl methacrylate layer between 2 pieces of polypropylene mesh. Postoperatively, the patient suffered from pneumonia and neurological deterioration which fully recovered eventfully. At 24 months after operation, the vertebral prosthesis and internal fixation were intact; there was no tumor local recurrence, and the patient was alive with stable pulmonary metastases. Conclusion This case report describes resection of a huge chondrosarcoma involving not only multilevel upper thoracic spine, but also entire left upper thoracic cavity and chest wall. Although with complications, en bloc tumor resection with combined surgical approach and effective reconstructions could improve oncologic and functional prognosis in carefully selected spinal tumor patients.

scholarly journals Chest Wall Mass in Infancy: The Presentation of Bone-Tumor-Like BCG Osteitis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Phumin Chaweephisal ◽  
Teesit Torchareon ◽  
Shanop Shuangshoti ◽  
Piti Techavichit
Keyword(s):  
Chest Wall ◽  
Bone Tumor ◽  
Osteolytic Lesion ◽  
Granulomatous Inflammation ◽  
Mycobacterial Infection ◽  
Benign Tumors ◽  
Costal Margin ◽  
The Right ◽  
Wall Mass ◽  
Chest Wall Mass

Chest wall mass in infancy is rare. Malignant lesions are more common than infection or benign tumors. This is a case of a 12-month-old girl who presented with a 2 cm mass at the right costal margin and poor weight gain. Chest radiograph demonstrated a moth-eaten osteolytic lesion at the 8th rib. The resection was performed, and a mass with pus content was found. The positive acid fast stain (AFB) organism was noted. Pathology confirmed caseous granulomatous inflammation compatible with mycobacterial infection. However, QuantiFERON-TB Gold was negative, so Mycobacterium bovis (M. bovis) osteitis is highly suspected. She was treated with antimycobacterium drugs and showed good results. Osteomyelitis can manifest by mimicking bone tumors. Without a biopsy, the pathogen may go undetected. So, interventions such as biopsy are warranted and avoid mass resection without indication. High C-reactive protein (CRP), alkaline phosphatase (ALP), periosteal reaction of radiating spicules, and penumbra sign in magnetic resonance imaging (MRI) are helpful for discriminating osteomyelitis from bone tumor.

scholarly journals Thoracoschisis associated with Limb Body Wall Complex

2017 ◽  
Vol 8 (3) ◽  
pp. 19 ◽  
Author(s):  
Dragana Vujovic ◽  
Aleksandar Sretenovic ◽  
Maja Raicevic ◽  
Marija Lukac ◽  
Tamara Krstajic ◽  
...  
Keyword(s):  
Chest Wall ◽  
Body Wall ◽  
Rare Condition ◽  
Thoracic Wall ◽  
Liver Lobe ◽  
Wall Defect ◽  
Thoracic Wall Reconstruction ◽  
The Right ◽  
Accessory Liver ◽  
Accessory Liver Lobe

Thoracoschisis is a rare condition. A female newborn presented with right-sided thoracoschisis, associated with diaphragmatic hernia and protrusion of an accessory liver lobe through the chest wall defect along with deformity of the right forearm and hand duplication. Diagnosed as part of the limb-body wall complex (LBWC), management included resection of the exteriorized liver lobe followed by right hemidiaphragm and thoracic wall reconstruction.

Sign in / Sign up

Export Citation Format

Share Document