An unusual timing for symptomatic chest pain in an adult chest wall myofibroma: a case report

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• 作者：Chin-Li Chen (11)
  Hung Chang (11)
  
  11. Division of Thoracic Surgery ; Department of Surgery ; Tri-Service General Hospital ; National Defense Medical Center ; No.325 ; Section 2 ; Cheng-Kung Road ; Taipei ; 114 ; Taiwan
  
• 关键词：Chest pain ; Chest wall tumor ; Myofibroma ; Thoracotomy
• 刊名：Journal of Medical Case Reports
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：8
• 期：1
• 全文大小：1,034 KB
• 参考文献：1. Azevedo Rde, S, Pires, FR, Della Coletta, R, de Almeida, OP, Kowalski, LP, Lopes, MA (2008) Oral myofibromas: report of two cases and review of clinical and histopathologic differential diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105: pp. e35-e40 CrossRef
  2. Scheper, MA, Difabio, VE, Sauk, JJ, Nikitakis, NG (2005) Myofibromatosis: a case report with a unique clinical presentation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99: pp. 325-330 CrossRef
  3. Marciani, RD, White, DK, Gotcher, JE (1999) Recurrent hard palate lesion in a child. J Oral Maxillofac Surg 57: pp. 1127-1131 CrossRef
  4. Lope, LA, Hutcheson, KA, Khademian, ZP (2010) Magnetic resonance imaging in the analysis of pediatric orbital tumors: utility of diffusion-weighted imaging. J AAPOS 14: pp. 257-262 CrossRef
  
• 刊物主题：Medicine/Public Health, general; General Practice / Family Medicine; Public Health; Primary Care Medicine;
• 出版者：BioMed Central
• ISSN：1752-1947

文摘

Introduction Myofibromas are benign mesenchymal neoplasms that can present as solitary and multicentric lesions. They can occur in several locations and can occur at any age from neonates to elderly patients. However, most of the lesions are found in neonates and babies. It rarely occurs in adults. Case presentation A 29-year-old Taiwanese man presented with persistent dull chest pain in his right lateral chest wall for 2 weeks. A chest X-ray showed a faint patchy opacity over the periphery of his right upper lung zone. Computed tomography and magnetic resonance imaging showed a lobulated mass at the intercostal space between his right fifth and sixth ribs with contrast enhancement and bone invasion. Malignancy could not be excluded. A percutaneous needle aspiration biopsy failed due to technique issues, so he underwent a thoracotomy and the tumor was excised with Marlex mesh repairs for the thoracic defect. Pathology confirmed a myofibroma without malignancy. He recovered uneventfully and no local recurrence was detected at the 1-year follow-up examination. Conclusions Chest wall myofibroma presenting with chest pain has never been reported in adults. It is a challenge to differentiate myofibroma from malignancy in chest wall preoperatively, such as seen in our patient. To the best of our knowledge, this has not been previously reported in the scientific literature. Although myofibroma rarely occurs in the chest wall and adults, it must be suspected in any chest wall tumor presenting with chest pain.