1999 Volume 13 Issue 6 Pages 774-778
A 72-year-old woman was admitted to our hospital with an abnormal shadow on chest X-ray film. She sustained chest injury one year before. Chest CT revealed a tumor located at right lateral chest wall. Pathological diagnosis of needle biopsy was malignant fibrous histiocytoma (MFH), so we widely resected the whole chest wall with the tumor and four ribs (from 3rd to 6th). The defect of the chest wall was reconstructed with lattice threads. The tumor, 12 × 6 × 5 cm in size, was composed of atypical spindle and round cells, and the pathological diagnosis was storiform-pleomorphic type MFH. Postoperative chemotherapy (cisplatin and ifosphamide) was administered. MFH of the chest wall has been reported in only 21 cases in the Japanese literature.
