Figure 121.27. Primitive neuroectodermal tumor arising in the rib in a 19-year-old male patient.

Figure 121.27

Primitive neuroectodermal tumor arising in the rib in a 19-year-old male patient. Rib lesions are at a higher risk than other primary lesions because of the frequent finding of “dropped” metastases around the diaphragm as well as chest wall recurrences. It is for this reason that the entire rib of primary involvement is removed from its articulation at the vertebral body to that of the sternum. Radiation therapy for these lesions given preoperatively consists of irradiation beginning one rib above the lesional area all the way down to and including the diaphragm. (See text.)

From: Chapter 121, Bone Tumors

Cover of Holland-Frei Cancer Medicine
Holland-Frei Cancer Medicine. 5th edition.
Bast RC Jr, Kufe DW, Pollock RE, et al., editors.
Hamilton (ON): BC Decker; 2000.
© 2000, BC Decker Inc.

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