Two Cases Wıth Giant Tumor In A Rare Locatıon At The Anterior Chest Wall

Abstract

Primary chest wall tumors account 1-1.5% of all primary tumors. Angiosarcomas are rare malignant tumors originating from vascular endothelium and immitating the vascular structure. Although sarcomas are occasional after irradiation, there are angiosarcomas developed after radiotherapy for different type malign tumors. The period between radiotherapy and sarcoma development is very variable and generally over 10 years. Although it is frequent at abdominal wall, a desmoid tumor is a rare primary tumor of the chest wall. These benign tumors do not metastize, develop rapidly and agressively invade the adjacent tissues. After surgical resection local recurrence is not infrequent. Therefore, planning radiotherapy is a therapy stage. In this study we evaluated a giant angiosarcoma at the right anterior hemithorax upper quadrant in a 30 year old patient which we thought to develop in the late period after radiotherapy performed for Hodgkin disease 13 years before and totally extirpated with surgery. Radical resection of a giant desmoid tumor which infiltrated brachial plexus at the right anterior chest wall and its diagnosis and therapy modalities were reported under review of the literature.