Localized extraosseous Ewing’s sarcoma of the chest wall resected by video-assisted thoracoscopic surgery

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• 作者：Takahiko Misao (1)
  Takeshi Yoshikawa (1)
  Motoi Aoe (1)
  Masashi Furukawa (1)
  Satoko Nakamura (2)
  Kimihiro Kawakami (3)
  
• 关键词：Extraosseous Ewing’s sarcoma ; Extraskeletal Ewing’s sarcoma ; Chest wall ; Video ; assisted thoracoscopic surgery
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2010
• 出版时间：December 2010
• 年：2010
• 卷：58
• 期：12
• 页码：647-650
• 全文大小：378KB
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  6. Castex MP, Rubie H, Stevens MCG, Escribano CC, Gauzy JS, Gomez-Brouchet A, et al. Extraosseous localized Ewing’s tumors: improved outcome with anthracyclines. The French Society of Pediatric Oncology and International Society of Pediatric Oncology. J Clin Oncol 2007;25:1176-182 CrossRef
  7. Shamberger RC, LaQuaglia MP, Gebhardt MC, Neff JR, Tarbell NJ, Marcus KC, et al. Ewing sarcoma/primitive neuroectodermal tumor of the chest wall. Impact of initial versus delayed resection on tumor margins, survival, and use of radiation therapy. Ann Surg 2003;238:563-68.
  
• 作者单位：Takahiko Misao (1)
  Takeshi Yoshikawa (1)
  Motoi Aoe (1)
  Masashi Furukawa (1)
  Satoko Nakamura (2)
  Kimihiro Kawakami (3)
  
  1. Department of Surgery, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu, Kagawa, 760-8557, Japan
  2. Department of Pathology, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan
  3. Department of Internal Medicine, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan
  

文摘

Extraosseous Ewing’s sarcoma (ES) is a small round cell tumor arising in soft tissue that was undifferentiated histologically from classic ES of bone. It frequently affects children and adolescents, with an unfavorable prognosis. Herein, we report a case of localized extraosseous ES of the chest wall resected by videoassisted thoracoscopic surgery (VATS). An asymptomatic 40-year-old man presented with an abnormal shadow on chest radiography. Chest computed tomography showed a 1.5-cm solid tumor on the chest wall. VATS was undertaken for the undiagnosed tumor. Thoracoscopic findings showed a hemispheric tumor with a smooth surface on the chest wall. The tumor was diagnosed with an extraosseous ES by pathological and cytogenetic examinations. As adjuvant therapy, the patient was treated with radiotherapy, followed by multiagent chemotherapy. There have been few reported cases in which VATS was used for extraosseous ES of chest wall, so our case was thought to be very rare.