METHODS: A 21-year-old white female patient presented with a complaint of burning chest pain over 3 months, with gradual worsening in intensity, accompanied by a progressively growing bulge in the right thoracic wall. The patient underwent thoracotomy of the fifth and sixth ribs with complete excision of the lesion with a safety margin. Thoracic wall reconstruction was performed using a polypropylene mesh. The patient had a good postoperative course and was discharged on postoperative day 3. Histopathological examination revealed a histological image consistent with myelolipoma.
CONCLUSIONS: This report underscores the importance of considering a myelolipoma diagnosis for tumor masses in the ribs.
方法:一名21岁的白人女性患者主诉3个月以上的灼热性胸痛,随着强度的逐渐恶化,伴随着右胸壁逐渐增大的隆起。患者接受了第五和第六肋骨的开胸手术,并以安全的边缘完全切除了病变。使用聚丙烯网进行胸壁重建。患者术后病程良好,术后第3天出院。组织病理学检查显示与骨髓脂肪瘤一致的组织学图像。
结论:本报告强调了考虑对肋骨肿瘤块进行髓脂肪瘤诊断的重要性。