Medicina Pulmonar e Respiratória

Chest Wall Desmoid Tumor Mimicking a Pancoast – Tobias Tumor

Abstract

Hentati Abdessalem, Abid Walid, Ben Jmaà Hèla, Kammoun Ibrahim, Elleuch NizarM and Frikha Imed

Desmoid tumors of the chest are rare and invasive tumors. We report the case of a 66-year-old patient operated through a Cormier Dartevelle Grunewald incision. After resection of the first two ribs to improve exposition, we proceeded to a careful control of the proximal and distal extremities of the sub-clavian artery that was invaded by the tumor. A termino-terminal anastomosis was performed after removal of the invaded segment. One-piece resection was not possible because of the size of the mass. The resection of the intra-foraminal extension was performed with an intra-thoracic approach by a neurosurgeon. The postoperative course was uneventful.