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Ann Thorac Surg 2003;76:937-939
© 2003 The Society of Thoracic Surgeons

Case report

Desmoid tumor of the chest wall with pleural involvement

Thomas K. Varghese, Jr, MDa, Rohit Gupta, MDb, Anjana V. Yeldandi, MDb, Sudhir R. Sundaresan, MD*a

a Division of Cardiothoracic Surgery, Department of Surgery, Chicago, Illinois, USA
b Department of Pathology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA

Accepted for publication February 15, 2003.

* Address reprint requests to Dr Sundaresan, Division of Thoracic Surgery, The Ottawa Hospital, General Campus, 6NW, Room 6356, 501 Smyth Rd, Ottawa, Ontario, Canada K1H 8L6
e-mail: ssundaresan{at}ottawahospital.on.ca

Although there have been reports of desmoid tumors of the chest wall, pleural extension, as well as overall size greater than 20 cm, is rare. We present the case of a large desmoid tumor involving the left anterior chest wall, upper abdomen, and diaphragm, which impinged on the left lung and displaced the liver. Wide surgical excision, reconstruction, and differential diagnosis from fibrosarcoma are essential elements in the treatment of these rare tumors.






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Copyright © 2003 by The Society of Thoracic Surgeons.