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KMID : 0378019720150090113
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New Medical Journal
1972 Volume.15 No. 9 p.113 ~ p.116
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A Case of Leiomyosarcoma Involving the Right Lateral Thoracic Wall
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Abstract
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A 33-year-old Korean male patient with leiomyosarcoma involving the right lateral thoracic wall was reported. Leiomyosarcoma in thoracic wall is extremely rare.
This patient´s chief complaints were dull pain with slowly growing bulging mass in right lateral thoracic wall for about 2 months duration.
Physical examination on admission showed moderately developed and nourished man with a large hard bulging mass (about 1OX15cm in diameter) with severe tenderness around the right subaxillary region. Coughing and deep respiration made severe chest pain.
Chest X-ray (P-A and lateral view) showed large diffuse soft tissue mass densities were occupying the entire right lateral thoracic wall and also involving the pleura with destructive bony missing of lateral parts of right 4th, 5th and 6th ribs.
All biochemical findings were nonspecific except elevated erythrocyte sedimentation rate (127 nimHr)
Biopsy with histopathology revealed malignant mesenchymal tumor of smooth muscle cell origin (Leiomyosarcoma). Surgical treatment was not indicated, and palliative radiotherapy was recommended.
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