The case was a sixty-four-year-old female with a history of fibrous tumor in the right supraclavicular and neck region thirty years ago. A fibrous tumor developed in the right pleural cavity and was surgically resected. Since local recurrence occurred, the chest wall was partially resected including the tumor followed by reconstruction with a composite graft. This graft was made of hydroxyapatite filler wrapped with two sheets of Dacron fabric. A diagnosis of fibromatosis was made according to the study of the resected specimen, which showed unclear borders, homogenisity, poor evidence of nuclear atypia and mitosis in histological examination as well as negative finding of CD 34 in immunohistochemical examination.
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