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- W2694395501 abstract "症例は69歳男性．健康診断で左肺野の異常陰影を指摘された．胸部CTで左胸腔内に石灰化を伴う80×65 mmの腫瘤影を認めCTガイド下針生検で骨肉腫と診断された．腫瘤は浸潤性に乏しく肋骨との境界も保たれていたため胸壁または肺を原発とする骨外性骨肉腫を疑い外科的切除を行った．後側方開胸で，腫瘍と強く癒着していた左肺および第3～6肋骨とともに腫瘍を摘出した．腫瘍は肉眼的には境界明瞭，充実性で割面は灰白調，組織学的には紡錘形の腫瘍細胞の増殖と，腫瘍細胞から成る軟骨および骨組織の形成が認められた．肺や肋骨との連続性は認められず，免疫染色で中皮細胞に特異的なマーカーの発現も認められなかったため胸壁軟部組織を原発とする骨外性骨肉腫と診断した．術後補助治療は行わずに経過観察中，1年後のCTで左胸腔内に播種性転移再発を疑う所見を認めたためTomotherapyを行い，その1年後の時点では再燃は認めていない．" @default.
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- W2694395501 date "2015-01-01" @default.
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- W2694395501 title "A case report of extraskeletal osteosarcoma derived from chest wall" @default.
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