Ewing's Sarcoma of the Left First Rib: A Case Report

發生在左側第一肋骨的Ewing氏骨肉瘤之個案報告－病例報告

段奇瑋(Chi-Wei Duann) ； 許文虎(Wen-Hu Hsu) ； 吳玉琮(Yu-Chung Wu) ； 陳威明(Wei-Ming Chen)

《胸腔醫學》 28卷6期 (2013/12) Pp. 375-381

摘要

Ewing氏骨肉瘤是罕見的惡性腫瘤之一，它通常位於長骨或是骨盆腔處，不過它也能夠發生在肋骨。本文將簡述一名四十五歲的男性Ewing氏骨肉瘤的病人，其病灶正位於左邊的第一肋骨。他一開始表現的症狀是上背及左上肢的壓痛和麻木感長達兩個月的時間，電腦斷層，磁振造影及正子攝影檢查皆發現一個約2.8公分的腫瘤，並且經由切片證實為Ewing氏骨肉瘤。他接受了手術前的化學治療之後，接受了經前側探查的廣泛性腫瘤切除手術。我們將陳述這個病例並且討論其罕見的表現方式並且進行文獻回顧。

關鍵字

Ewing氏骨肉瘤 ； 肋骨

並列摘要

Ewing's sarcoma is part of a rare group of malignant neoplasms that are localized frequently in the long bone of the lower extremities, the humerus, and the pelvis. However, Ewing's sarcoma can also arise from the rib. We described a 45-year-old male with Ewing's sarcoma of the left first rib, who presented with tenderness and numbness in the upper back and left upper limb for 2 months. CT, MRI and PET were performed and a tumor mass about 2.8 cm at the left first rib was found. Ewing's sarcoma was confirmed by biopsy. He received neoadjuvant chemotherapy, and then tumor-wide excision was performed via the anterior approach. We present this case and discuss its rare presentation, and also provide a literature review.

並列關鍵字

Ewing's sarcoma ； rib ； wide excision ； rare neoplasm