Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings

Fibromatosis represents a group of fibroblastic proliferations that vary from benign to intermediate in biological behavior. It can be classified as superficial or deep. Aggressive fibromatosis (AF) does not cause distant metastasis, the potential for local invasion and recurrence is very high. AF c...

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Main Authors: Aslı Tanrıvermiş Sayıt, Muzaffer Elmalı, Filiz Karagöz, İlkay Koray Bayrak
Format: Article
Language:English
Published: Galenos Yayinevi 2019-07-01
Series:İstanbul Medical Journal
Subjects:
Online Access: http://imj.galenos.com.tr/archives/archive-detail/article-preview/aggressive-fibromatosis-of-the-chest-wall-a-case-r/29858
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author Aslı Tanrıvermiş Sayıt
Muzaffer Elmalı
Filiz Karagöz
İlkay Koray Bayrak
author_facet Aslı Tanrıvermiş Sayıt
Muzaffer Elmalı
Filiz Karagöz
İlkay Koray Bayrak
author_sort Aslı Tanrıvermiş Sayıt
collection DOAJ
description Fibromatosis represents a group of fibroblastic proliferations that vary from benign to intermediate in biological behavior. It can be classified as superficial or deep. Aggressive fibromatosis (AF) does not cause distant metastasis, the potential for local invasion and recurrence is very high. AF can be seen in various sites, including extra-abdominal, abdominal wall and intra-abdominal locations. It is rare in the extra-abdominal area and may involve the muscles of the shoulder, pelvis and thigh. AF of the chest wall is rare, representing only 8-10% of all deep fibromatoses. Cross-sectional imaging modalities, especially magnetic resonance imaging (MRI), can be used to detect, characterize and show the extension of these tumors into adjacent tissues. MRI is superior to CT in the radiological evaluation of soft tissues. The signal intensity of AF varies depending on the collagen and water content of the cell. A radical surgical resection strategy with a safe margin (2-3 cm) remains the standard therapeutic approach for AF. However, radiotherapy is a significant treatment challenge, especially for young women. Herein, we present a 25-year-old female patient with recurrent chest wall AF extending to the breast, along with clinical findings, MR images, and histopathological findings.
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spelling doaj.art-db33ab1bd30a4760930d39a72d105a222023-02-15T16:18:53ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2019-07-0120436536710.4274/imj.galenos.2019.3323913049054Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological FindingsAslı Tanrıvermiş Sayıt0Muzaffer Elmalı1Filiz Karagöz2İlkay Koray Bayrak3 Ondokuz Mayıs University Faculty of Medicine, Department of Radiology, Samsun, Turkey Ondokuz Mayıs University Faculty of Medicine, Department of Radiology, Samsun, Turkey Ondokuz Mayıs University Faculty of Medicine, Department of Pathology, Samsun, Turkey Ondokuz Mayıs University Faculty of Medicine, Department of Radiology, Samsun, Turkey Fibromatosis represents a group of fibroblastic proliferations that vary from benign to intermediate in biological behavior. It can be classified as superficial or deep. Aggressive fibromatosis (AF) does not cause distant metastasis, the potential for local invasion and recurrence is very high. AF can be seen in various sites, including extra-abdominal, abdominal wall and intra-abdominal locations. It is rare in the extra-abdominal area and may involve the muscles of the shoulder, pelvis and thigh. AF of the chest wall is rare, representing only 8-10% of all deep fibromatoses. Cross-sectional imaging modalities, especially magnetic resonance imaging (MRI), can be used to detect, characterize and show the extension of these tumors into adjacent tissues. MRI is superior to CT in the radiological evaluation of soft tissues. The signal intensity of AF varies depending on the collagen and water content of the cell. A radical surgical resection strategy with a safe margin (2-3 cm) remains the standard therapeutic approach for AF. However, radiotherapy is a significant treatment challenge, especially for young women. Herein, we present a 25-year-old female patient with recurrent chest wall AF extending to the breast, along with clinical findings, MR images, and histopathological findings. http://imj.galenos.com.tr/archives/archive-detail/article-preview/aggressive-fibromatosis-of-the-chest-wall-a-case-r/29858 Aggressive fibromatosischest wallultrasonographymagnetic resonance imaging
spellingShingle Aslı Tanrıvermiş Sayıt
Muzaffer Elmalı
Filiz Karagöz
İlkay Koray Bayrak
Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
İstanbul Medical Journal
Aggressive fibromatosis
chest wall
ultrasonography
magnetic resonance imaging
title Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
title_full Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
title_fullStr Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
title_full_unstemmed Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
title_short Aggressive Fibromatosis of the Chest Wall: A Case Report with Magnetic Resonance Imaging and Histopathological Findings
title_sort aggressive fibromatosis of the chest wall a case report with magnetic resonance imaging and histopathological findings
topic Aggressive fibromatosis
chest wall
ultrasonography
magnetic resonance imaging
url http://imj.galenos.com.tr/archives/archive-detail/article-preview/aggressive-fibromatosis-of-the-chest-wall-a-case-r/29858
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AT muzafferelmalı aggressivefibromatosisofthechestwallacasereportwithmagneticresonanceimagingandhistopathologicalfindings
AT filizkaragoz aggressivefibromatosisofthechestwallacasereportwithmagneticresonanceimagingandhistopathologicalfindings
AT ilkaykoraybayrak aggressivefibromatosisofthechestwallacasereportwithmagneticresonanceimagingandhistopathologicalfindings