巨大胸骨腫瘍の1例

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  • A CASE OF LARGE STERNAL TUMOR

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A 64-year-old woman was admitted to the hospital because of a large asymptomatic tumor of the anterior chest wall which was slowly growing up for 5 years. The tumor was occuping an upper half of the sternum and was about 9×7cm in diameter with palsation. Preoperative suspicious diagnosis of neuro-endocrine cell tumor was obtained by excisional biopsy of the cervical lymph node. En bloc resection of the tumor including both anterior portion of the clavicles and bilateral heads of 1, 2 ribs was carried out. A difect in the chest wall which measured 12×9cm was simply closured by single skin and muscle flap sutured without any prosthesis. Pathological examination of the tumor revealed “metastatic tumor from the thyroid carcinoma”, and then a total thyroidectomy with modified radical neck dissection was performed.

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