Epithelioid sarcoma in the chest wall: a case report and literature review

Surgical Case Reports
Teiko SakuraiHiroyuki Shiono

Abstract

Epithelioid sarcoma (ES) is a rare variant of soft tissue sarcoma. The proximal type of ES occurs in various locations. We present a resected case with proximal-type ES that occurred in the chest wall and discuss the relevant literature. A 47-year-old woman was referred for a 6-month history of a right anterior chest mass with tenderness. Chest computed tomography showed an invasive chest wall mass with calcification surrounding the third rib. Aspiration biopsy cytology suggested malignancy. We performed wide resection, including the middle part of the pectoralis major muscle, the pectoralis minor muscle, the third and fourth ribs, and reconstruction of the chest wall, using a 2-mm polytetrafluoroethylene patch. Severe deformation of the chest wall was avoided. Postoperative physical therapy of the shoulder was effective for the continuous pain and weakness of the arm. She has remained alive for 1 year and 10 months without recurrence. Our literature review showed five previously reported cases of ES in the chest wall, and all of these were surgically resected. Two of these patients suffered from frequent local recurrence and died of disease. ES in the chest wall is rare. Previous reports have indicated that surgical resection ...Continue Reading

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Citations

Apr 4, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Emilio J Inarejos ClementeOscar M Navarro

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Methods Mentioned

BETA
biopsy
surgical resection

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