2017 Volume 31 Issue 4 Pages 561-565
A 79-year-old woman presented with pain on the right side of the chest. A right anterior chest wall tumor was palpable and the patient was referred to our hospital. Chest enhanced computed tomography showed a lobulated tumor of approximately 9 cm in the right anterior chest wall, which involved the right 3rd rib and right upper lobe of the lung. The tumor was diagnosed as a solitary fibrous tumor by percutaneous needle biopsy, and surgery was performed with thoracoscopic assistance. Firstly, wedge resection of the invaded right upper lobe of the lung was performed using a stapling device. The lateral margin of the invaded 3rd rib was resected using a pneumatic high-speed power drill with a thoracoscopic view. The 4th rib was partially resected using the drill and 2nd and 4th intercostal muscle was resected around the tumor to maintain a safe surgical margin. The sternal side of the 3rd rib was resected with a direct view through an additional parasternal incision and the tumor was removed. The chest wall resection was less invasively achievable using the drill.
