Treatment of a Recurrent Chest Wall Desmoid Tumor Using a CT-Guided Steroid Injection.
10.3348/kjr.2012.13.3.342
- Author:
Sun Jung RHEE
1
;
Sang Hyun PAIK
;
Hwa Kyoon SHIN
;
Jai Soung PARK
;
Eun Hye LEE
Author Information
1. Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon 420-767, Korea. radpsh@schmc.ac.kr
- Publication Type:Case Reports
- Keywords:
Desmoid tumor;
CT;
Steroid;
Chest wall
- MeSH:
Adult;
Female;
Fibromatosis, Aggressive/*drug therapy/*radiography;
Glucocorticoids/*therapeutic use;
Humans;
Lidocaine/therapeutic use;
*Radiography, Interventional;
Recurrence;
Thoracic Wall/*pathology;
*Tomography, X-Ray Computed;
Triamcinolone/*therapeutic use
- From:Korean Journal of Radiology
2012;13(3):342-344
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report on a 41-year-old woman with a chest wall desmoid tumour who was successfully treated with a computed tomography (CT)-guided steroid injection. She presented with a palpable mass in the right upper chest wall and was treated by surgical excision and postoperative radiation therapy due to recurrence of the mass at the surgical site. At 20 months after the second operation, a recurrent mass was again detected in the anterosuperior portion of the previous surgical site on CT. We performed a CT-guided steroid injection weekly for 4 weeks by applying a mixture of 3 mL of triamcinolone acetonide (40 mg/mL) and 3 mL of 1% Lidocaine, administering 4-6 mL of the mixture, to the lesion. Six months later, CT showed a marked decrease in the size of the mass.
