[Rare differential diagnosis of breast tumor. Giant cell tumor of the ribs].

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01
P Brenner, F K Warbanow, A Krause-Bergmann, M Kuske, A Berger
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Abstract

We report a case of a breast tumor. As carcinoma of the breast was suspected, a biopsy was taken and a very rare osteoclastoma originating in the rib was identified. Semimalignant bone tumors tend to recur locally. The symptoms are nonspecific; the initial diagnosis is often made late. To differentiate the diagnosis, one should think about primary and secondary bone diseases and tumors of the organs of the thorax. In our case, the tumor was completely resected, including the ribs, and the defect was covered with a corium plasty. In this way, we are able to save the breast. We discuss different methods for covering chest wall defects.

乳腺肿瘤的罕见鉴别诊断。肋骨巨细胞瘤]。
我们报告一例乳腺肿瘤。由于怀疑为乳腺癌,进行了活检,发现了一种起源于肋骨的非常罕见的破骨细胞瘤。半恶性骨肿瘤容易局部复发。症状是非特异性的;最初的诊断往往很晚。为了鉴别诊断,应考虑原发性和继发性骨骼疾病和胸腔脏器肿瘤。在我们的病例中,肿瘤被完全切除了,包括肋骨,然后用颅骨成形术覆盖了缺陷。这样,我们就能拯救乳房。我们讨论了覆盖胸壁缺损的不同方法。
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