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Chest wall lump: lipoma or intramuscular myxoma?

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General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Intramuscular myxomas (IM) of the chest wall are extremely rare. We present the case of a 58-year-old African–American female who was initially diagnosed with having a chest wall lipoma. After re-evaluation, the lesion was consistent with an intercostal myxoma versus myxoid sarcoma. Preoperative imaging could not exclude malignancy. Given the diagnostic uncertainty, she underwent primary wide local resection and placement of polypropylene mesh for chest wall reconstruction. Histopathological examination revealed an intramuscular myxoma without sarcomatous changes arising from the 8th intercostal muscle bundle.

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Acknowledgements

Juanita Evans, MD, Department of Pathology, Ascension Providence Hospital, Southfield, Michigan.

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Authors and Affiliations

  1. School of Medicine, American University of the Caribbean, Coral Gables, FL, USA

    Alec Raniwsky & Michael Schmidt

  2. Department of Surgery, Ascension Providence-Providence Park Hospital, Michigan State University College of Human Medicine, 16001 W 9 Mile Rd, Southfield, MI, 48075, USA

    Joseph J. Eid

  3. Division of Cardiothoracic Surgery, Department of Surgery, Ascension Providence-Providence Park Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA

    Michael W. Lee

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  1. Alec Raniwsky
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  2. Michael Schmidt
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  3. Joseph J. Eid
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  4. Michael W. Lee
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Correspondence to Joseph J. Eid.

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The authors declare that they have no competing interest.

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Raniwsky, A., Schmidt, M., Eid, J.J. et al. Chest wall lump: lipoma or intramuscular myxoma?. Gen Thorac Cardiovasc Surg 68, 546–548 (2020). https://doi.org/10.1007/s11748-019-01157-9

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  • DOI: https://doi.org/10.1007/s11748-019-01157-9

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