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Case Reports
. 2010 May;468(5):1462-6.
doi: 10.1007/s11999-009-1113-2.

Chest wall mass in a 50-year-old woman

Deep S Chatha  1 , Leon D Rybak, James C Wittig, Panna Desai
Affiliations
Case Reports

Chest wall mass in a 50-year-old woman

Deep S Chatha et al. Clin Orthop Relat Res. 2010 May.
No abstract available

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Figures

Fig. 1A–B
Fig. 1A–B
(A) An axial CT scan of the chest (soft tissue windows) shows a mixed-attenuation mass along the anterior left chest wall involving the second and third costochondral and costosternal regions. Areas of somewhat amorphous, coarse calcification (arrowheads) and small focal areas of sclerosis involving the adjacent margins of the sternum and ribs with no gross destructive changes are seen. (B) An axial CT scan (soft tissue window) slightly more cephalad shows a more superficial, low-density or cystic component of the mass (arrows), which appears to mildly displace but not invade the overlying pectoralis major muscle.
Fig. 2A–C
Fig. 2A–C
(A) A coronal T1-weighted MR image of the anterior chest wall shows a low-signal-intensity mass (arrowheads) arising from the costosternal junction, deep to the pectoralis muscle. (B) An axial T2-weighted MR image shows the chest wall mass as a well-defined, predominantly hyperintense cystic lesion. A deeper component adjacent to the costosternal junction, which is low signal intensity on both sequences, is suggestive of a nodular soft tissue component (arrow). The single fluid-fluid level (arrowhead) can be seen. (C) A coronal T1 fat-saturated postgadolinium image clearly shows the nonenhancing cystic component (arrow) and enhancing soft tissue medially at the costosternal junction (arrowheads).
Fig. 3A–B
Fig. 3A–B
(A) A photomicrograph shows skeletal muscle with two tiny clusters of malignant epithelial cells with hyperchromatic nuclei, arranged in small glands (Stain, hematoxylin and eosin; original magnification, ×40). (B) The cells are positive with immunoassay CA125 marker consistent with metastatic ovarian adenocarcinoma (Original magnification, ×40).
Fig. 4
Fig. 4
An axial CT image obtained after surgery shows reconstruction of the chest wall with methylmethacrylate (arrowheads).
See this image and copyright information in PMC

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