Evidence map›Paper›PMID 42852454›Full record

ArticleSurgical case reports2026

An Extensive Tail Sign in Primary Thoracic Myxofibrosarcoma: A Case Report.

Megumi Kobayashi, Ei Miyamoto, Yuki Morimura, Yuki Ohsumi, Takeshi Kubo, Tatsuo Nakagawa

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Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Megumi KobayashiDepartment of Thoracic Surgery, Tenri Hospital, Tenri, Nara, Japan.
Ei MiyamotoDepartment of Thoracic Surgery, Tenri Hospital, Tenri, Nara, Japan.
Yuki MorimuraDepartment of Thoracic Surgery, Tenri Hospital, Tenri, Nara, Japan.
Yuki OhsumiDepartment of Thoracic Surgery, Tenri Hospital, Tenri, Nara, Japan.
Takeshi KuboDepartment of Radiology, Tenri Hospital, Tenri, Nara, Japan.
Tatsuo NakagawaDepartment of Thoracic Surgery, Tenri Hospital, Tenri, Nara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMyxofibrosarcoma is a malignant soft tissue tumor of fibroblastic origin, occurring mainly in the extremities but extremely rarely in the thoracic trunk. Myxofibrosarcoma typically appears as a slow-growing, painless mass but features a frequent local recurrence due to microscopic extension beyond visible margins. On MRI, the "tail sign"-which indicates subtle spread along the fascial plane-is known to be a potential risk factor for recurrence. CASE PRESENTATION: The patient was a 73-year-old woman complaining of continuous right back pain. Chest CT showed a poorly contrast-enhanced mass involving the 5th and 6th right ribs, as well as a separate nodule. The biopsy confirmed a diagnosis of myxofibrosarcoma. The mass exhibited hypointensity on T1-weighted images and hyperintensity on T2-weighted images on MRI; on contrast-enhanced T1-weighted images and STIR images, a tail sign extending toward a small satellite nodule was observed. The patient underwent an extended resection involving the 5th through 7th ribs. A total of 61.2 Gy radiation was irradiated to the paravertebral region neighboring the tumor where the surgical margin was poor. A local recurrence was detected in the anterolateral region of the tumor resection site 5 months after surgery. The patient was treated with sequential chemotherapy using doxorubicin, eribulin, and pazopanib and is alive at 26 months after surgery without distant metastasis.

conclusionsThe current case exemplifies the aggressive local behavior of thoracic myxofibrosarcoma, especially when a long tail sign appears.

Indexed as

chest wall tumormyxofibrosarcomatail sign

Identifiers

PMID42852454
PMCPMC13649317

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