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

• Nakada Takeo

  Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan

• Akiba Tadashi

  Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan

• Inagaki Takuya

  Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan

• Morikawa Toshiaki

  Department of Surgery, Jikei University Hospital, Tokyo, Japan

• Ohki Takao

  Department of Surgery, Jikei University Hospital, Tokyo, Japan

Bibliographic Information

Other Title

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

Abstract

We report the case of a 28-year-old woman with primary intercostal leiomyoma who presented with a complaint of right chest pain. Contrast-enhanced computed tomography (CT) demonstrated a slightly enhanced solid mass in the right anterior fifth intercostal space. Percutaneous needle biopsy revealed spindle cells without evidence of malignancy. Wide en bloc excision of the chest wall, including the anterior fifth and sixth ribs and the upper costal arch, was performed. This way, the mass was completely resected without exposure, and the chest wall defect was reconstructed using a Gore-Tex^® dual mesh. Histopathological analysis confirmed localized primary intercostal leiomyoma. The patient has been disease-free for more than 2 months since surgery.Primary leiomyomas of the chest wall are extremely rare. To the best of our knowledge, 9 cases of leiomyoma of the pleura have been reported till date, but this is the first case report of an intercostal leiomyoma of the chest wall. This case report describes the clinical course of this case and presents a review of the relevant literature.

Journal

• Annals of Thoracic and Cardiovascular Surgery

  Annals of Thoracic and Cardiovascular Surgery 20 (Supplement), 617-621, 2014

  The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

Keywords

• chest wall
• leiomyoma
• intercostal space
• dual mesh

Details

• CRID: 1390001204730188672
• NII Article ID: 130003377928
• DOI: 10.5761/atcs.cr.12-02242
• ISSN: 21861005
• ISSN: 13411098
• PubMed: 23995350
• Web Site: https://www.jstage.jst.go.jp/article/atcs/20/Supplement/20_cr.12-02242/_pdf
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed