Low-Grade Myofibroblastic Sarcoma Arising From Keloid Scar on the Chest Wall After Thoracic Surgery

Yur Ren Kuo*, Chih Kai Yang, Austin Chen, Savitha Ramachandran, Sin Daw Lin

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

5 Scopus citations

Abstract

Keloids are considered as benign fibroproliferative skin tumors, and rare cases of malignancies have been reported. We present a case of low-grade myofibroblastic sarcoma arising from a recurrent painful keloid scar on the right chest wall after video-assisted thoracic surgery for pneumothorax in a 77-year-old man. Wide composite excision of the keloid, surrounding ribs, and partial diaphragm were performed. The chest wall pleural defect was reconstructed with Teflon (Chemours, Wilmington, DE), and soft tissue was reconstructed with a transverse rectus abdominis myocutaneous flap. This case highlights that refractory keloids may be considered a harbinger of malignancy.

Original languageEnglish
Pages (from-to)e469-e471
JournalAnnals of Thoracic Surgery
Volume110
Issue number6
DOIs
StatePublished - 12 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 The Society of Thoracic Surgeons

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