Goiter, Nodular ; diagnosis ; Humans ; Thoracic Wall ; pathology

Female ; Humans ; Neoplasms ; physiopathology ; Thoracic Neoplasms ; pathology ; physiopathology ; Thoracic Wall ; pathology ; Young Adult

Adult ; Aneurysm, Dissecting ; complications ; pathology ; Anterior Wall Myocardial Infarction ; etiology ; Aortic Aneurysm, Thoracic ; complications ; Humans ; Male

Chondrosarcoma ; metabolism ; pathology ; surgery ; Female ; Humans ; Middle Aged ; S100 Proteins ; metabolism ; Soft Tissue Neoplasms ; metabolism ; pathology ; surgery ; Thoracic Neoplasms ; metabolism ; pathology ; surgery ; Thoracic Wall ; Vimentin ; metabolism

The prognosis of advanced hepatocellular carcinoma (HCC) tends to be poor. Spontaneous regression of this lesion is extremely rare. In this report, we describe a case of HCC which spontaneously regressed along with a metastatic lesion of the chest wall. A huge HCC in the right lobe, the largest diameter of which was about 15x12 cm, developed in a 72-year-old man. He and his family refused further treatment. Three months after the diagnosis, metastasis to the chest wall was detected. We prescribed a painkiller for him in order to alleviate chest pain. Fourteen months after the diagnosis, the tumor size of the primary lesion was downsized to 3x4 cm in diameter. A biopsy taken from the chest wall proved to be clear cell HCC (CHCC). Since then, the metastatic lesion has also disappeared. Here, we report this unusual histologically proven CHCC with literature reviews.
Time Factors ; Thoracic Wall/pathology ; Thoracic Neoplasms/*secondary ; Prognosis ; *Neoplasm Regression, Spontaneous ; Neoplasm Metastasis ; Male ; Liver Neoplasms/*pathology ; Humans ; Carcinoma, Hepatocellular/*pathology ; Aged

Humans ; Female ; Carcinoma, Intraductal, Noninfiltrating/surgery* ; Thoracic Wall/pathology* ; Adenocarcinoma, Papillary ; Breast Neoplasms/surgery* ; Carcinoma, Ductal, Breast/pathology*

Primary malignant fibrous histiocytoma (MFH) of the chest wall is rare. We report a case of primary MFH arising from the chest wall, which was thought to be a metastasis or myeloma. The imaging study revealed a single mass of the chest wall involving a rib. Resection and chest wall reconstruction was done. The histologic diagnosis was storiform-pleomorphic primary MFH. Although MFH of the chest wall is an uncommon pathology, it should be considered in the differentiation of a single bony destructive lesion involving the rib with a soft tissue component.
Adult ; Bone Neoplasms/*pathology/radiography ; Diagnosis, Differential ; Female ; Histiocytoma, Fibrous/*pathology/radiography ; Humans ; Ribs/*pathology ; Soft Tissue Neoplasms/*pathology/radiography ; Thoracic Wall/*pathology

Contrast-enhanced magnetic resonance imaging (MRI) of the breast is probably the most sensitive method for the detection of the pathology of the breast. It is an emerging technology that may revolutionize the management of women with known or suspected breast cancer. Recently, breast MRI has proven most useful in patients with proven breast cancer for the assessment of a multifocal/multicentric disease, chest wall involvement, chemotherapy response, or tumor recurrence or to identify the primary site in patients with occult breast cancer. False positive findings can pose a significance problem in the interpretation of a breast MRI. MRI examinations should be interpreted with an awareness of the pitfalls, false positive breast lesions, and artifacts that can affect on the image evaluation.
Artifacts ; Breast Diseases* ; Breast Neoplasms ; Breast* ; Drug Therapy ; Female ; Humans ; Magnetic Resonance Imaging ; Pathology ; Recurrence ; Thoracic Wall

The upper chest wall does not grow properly in children with spinal muscular atrophy (SMA) with paradoxical breathing. This suggests that long-term inability to take a deep breath in developing children may result in underdevelopment of the upper chest wall. In addition, a rapid and paradoxical breathing pattern is frequently observed in children with severe cerebral palsy (CP), which often corresponds to the underdevelopment of the upper chest wall. The present study is designed to evaluate the ratio of the upper to lower chest wall in children with severe spastic quadriplegic CP, compared with normal children. We compared normal children with children that had spastic quadriplegic CP who did not have kyphosis or scoliosis. Test subjects were matched in terms of age, height, and weight. The diameters of upper chest (D(apex)) and of lower chest (D(base)) were measured on the anteroposterior (AP) view of a chest X-ray and the D(apex) to D(base) ratio was calculated. In selected cases the forced vital capacity (FVC) was measured using a Wright Respirometer. The D(apex) to D(base) ratio was significantly lower in the CP group than in the control group (p < 0.001). The ratio increased linearly with age (p < 0.001) in both CP (R = 0.372) and control groups (R = 0.477). The FVC/preFVC showed significant correlation with the D(apex) to D(base) ratio (R = 0.542, p < 0.01). The results of this study suggest a deviation of optimal chest wall structure in children with spastic quadriplegic CP.
X-Rays ; Vital Capacity ; Time Factors ; Thoracic Wall ; Thoracic Cavity ; Respiratory Tract Diseases/*pathology/physiopathology ; *Respiration ; Quadriplegia/*pathology ; Muscle Spasticity/*pathology ; Male ; Lung/pathology ; Humans ; Forced Expiratory Volume ; Female ; Child, Preschool ; Child ; Cerebral Palsy/*pathology ; Case-Control Studies

OBJECTIVETo investigate the efficacy of surgical treatment of sternal tumors and repairing methods of the chest wall defects.

METHODSFifteen patients with sternal tumors were diagnosed and underwent resection of the sternal tumors according to the en-bolck principle and repair of the chest wall defects using various materials from January 1968 to December 2010 in our hospital.

RESULTSOf 6 patients with sternal manubrim tumors, one patient had reconstruction only with steel wire, other 5 patients healed completely after repair with soft materials. Of 7 patients with sternal body tumors, one patient recovered quickly without reconstruction because he had only partial resection; four patients had chest wall repair with soft materials, but they breathed hardly; and two patients had chest wall reconstruction with rigid materials. One patient had ventilatory support, another patient recovered quickly. Ventilatory support was needed in two patients treated by subtotal sternectomy because they had chest wall repair with soft materials.

CONCLUSIONSIn surgical treatment of sternal tumors by manubrim sternetomy, the chest wall defects can be constructed with soft materials. After resection of sternal body tumors and subtotal sternectomy, the thoracic wall defects need to be reconstructed with rigid materials.

Adenocarcinoma ; secondary ; surgery ; Adult ; Aged ; Bone Neoplasms ; pathology ; surgery ; Chondrosarcoma ; pathology ; surgery ; Female ; Humans ; Male ; Middle Aged ; Reconstructive Surgical Procedures ; methods ; Sternum ; pathology ; surgery ; Thoracic Surgical Procedures ; methods ; Thoracic Wall ; pathology ; surgery