PMC9772541_01
The bleeding necrotic tumor mass on the left posterolateral surface of the hemithorax.
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PMC9772541_01_fsurg-09-1044077-g001.jpg
F1
The skin immediately surrounding the tumor was hyperemic, moderately edematous, and indurated (Figure 1).
Chest soft tissue mass CT imaging. (A). Frontal view. (B). Axial view.
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F2
The tumor measuring 192 mm long and up to 178 mm wide was well-circumscribed, vascularized by dilated and tortuous vessels (Figure 2AB) and lay adjacent to the left costal surface of scapula and ribs without invading them.
Intraoperative and postoperative findings. (A). Skin and tissue defects after tumor removal. (V). Postoperative view. Gross specimen of the mass. (C). Removed tumor. (D). The tumor cross section.
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F3
On January 18 after clinical stabilization the tumor was removed with clear surgical margins (Figure 3A,B). The surgically resected specimen showed a solid ulcerous-necrotic mass (Figure 3C,D).
Four-year follow-up outcomes after surgical and radiation therapy. (A). Front view (Mammary glands are positioned at the same level). (B). Lateral view. (S). Back view.
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F4
After 4 years of follow-up, no evidence of recurrence was observed (Figure 4A-C).