@article{oai:u-ryukyu.repo.nii.ac.jp:02015931, author = {Nagahama, Masayoshi and Okushima, Norihiko and Nakachi, Hiromichi and Nakahara, Yasuo and Tengan, Isamu and Nakama, Ken and Kiyuna, Masaya and Toda, Takayoshi and Muto, Yoshihiro}, issue = {3}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {Leiomyosarcoma of the chest wall is a rare, but well recognozed clinical entity. We describe a case with leiomyosarcoma which was diagnosed by the use of immunohistochemical and electron microscopic studies. A 81 -year-old woman developed a large firm tumor in her right lateral chest wall in October, 1994. A chest X-ray showed osteolytic changes in the 8th rib embedded in the tumor. A CT scan revealed a tumor arising from the chest wall along with a destroyed rib, thus indicating the tumor to be malignant. A radical resection of the tumor leaving a-3 cm free margin in the chest wall was performed. Reconstruction of the chest wall defect was performed using prosthetic material (Marlex mesh). The tumor measured 6 X 6 X 4 cm in size. The cut surface was gray-white in color and firm with a whorled appearance. The pathological examination (routine histology, immunohistochemistry, and electron microscopy) confirmed the diagnosisof leiomyosarcoma arising from the chest wall. The patient is doing well, disease-free and currently in her 5th month after surgery., 論文}, pages = {131--134}, title = {[症例報告]Leiomyosarcoma of the chest wall : A case report}, volume = {16}, year = {1996} }