Chest Wall Myofibroblastic Sarcoma - VATS
A Chest Wall malignant myofibroblastic Sarcoma, rapidly progressing, was presented as an incidental radiologic finding in a completely Asymptomatic 21-yo male smoker (a fit athlete)

IMAGES 1-2: Pre-op CXRs of the asymptomatic patient upon his admission.

IMAGE 3: No abnormality had been detected on another CXR, taken 14 months prior to admission

IMAGES 4-5: Pre-op CT (Computed axial Tomography) scans

IMAGES 6-9: Pre-Op MRI (Magnetic Resonance Imaging) scans

IMAGES 10-12: Intra-operative photographs of the intrathoracic tumour (VATS), then during the radical resectional procedure (Chest Wall Resection) and, finally, of the specimen resected.
sarcomamyofibrobl01.jpg

1. Preop CXR (posteroanterior) upon admission

sarcomamyofibrobl03_c.jpg

2. Preop CXR (lateral) upon admission

sarcomamyofibrobl02.jpg

3. No abnormality detected on CXR 14 months prior to admission

sarcomamyofibrobl04.jpg

4. Preop CT scan (cyan arrows: the contact between the tumour & the 3rd rib)

sarcomamyofibrobl05.jpg

5. Preop CT scan

sarcomamyofibrobl06.jpg

6. Preop MRI scan (coronal view; cyan arrows: the contact between the tumour & the 3rd rib)

sarcomamyofibrobl07.jpg

7. Preop MRI scan (sagittal view; cyan arrows: the contact between the tumour & the 3rd rib)

sarcomamyofibrobl08.jpg

8. Preop MRI scan (sagittal view)

sarcomamyofibrobl09.jpg

9. Preop MRI scan (axial view; cyan arrows: the contact between the tumour & the 3rd rib)

sarcomamyofibrobl11.jpg

11. Intraop photo of the redical resectional procedure (Chest Wall Resection)

sarcomamyofibrobl12.jpg

12. The finally resected specimen of the tumour along with its overlying muscular & skin tissues involved.