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Rib tumors: a 15-year experience

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Abstract

Objective

A retrospective study of rib tumors was conducted to review their clinical, radiological, and pathological features, the difficulties in differentiating benign from malignant tumors, as well as the early and long-term results of surgical management.

Methods

All patients with rib lesions evaluated by the Thoracic Surgery Department from 1998 to 2012 were studied. The patient’s age, sex, symptoms, radiologic evaluation, surgical procedure, pathologic diagnosis and follow-up were assessed.

Results

Ninety-one patients (81 male, 10 female, age range 16–80) with rib tumors underwent surgery in a period of 15 years (1998–2012). 64 patients (70.33 %) had benign lesions and 27 patients (29.67 %) had malignant tumors. In the group with malignant tumors, the main symptom was pain, and in the group with benign tumors the main symptom was swelling. Ten patients with benign rib tumor and two with malignant tumor were detected during routine chest radiograph. All patients were treated surgically with wide excision of the tumor and the diagnosis was established histologically. In the benign cohort, osteochondromas, fibrous dysplasia, enchondroma, eosinophilic granuloma and posttraumatic fibro-osseous lesion/dysplasia were among the most customary diagnoses. In the malignant cohort, 13 patients (48.15 %) had metastatic lesions, with the remaining 14 patients having primary malignant rib tumor.

Conclusions

Although radiographic imaging has evolved, all rib lesions must be considered as potentially malignant until proven otherwise. Prompt intervention is necessary and surgery must consist of wide resection with tumor-free margins to provide the best chance for cure in both benign and malignant lesions.

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References

  1. Shah AA, D’Amico TA. Primary chest wall tumors. J Am Coll Surg. 2010;210(3):360–6 (Epub 2009 Dec 22).

    Article  PubMed  Google Scholar 

  2. Smith SE, Keshavjee S. Primary chest wall tumors. Thorac Surg Clin. 2010;20(4):495–507.

    Article  PubMed  Google Scholar 

  3. Faber LP, Somers J, Templeton AC. Chest wall tumors. Curr Probl Surg. 1995;32(8):661–747.

    Article  CAS  PubMed  Google Scholar 

  4. Hughes EK, James SL, Butt S, Davies AM, Saifuddin A. Benign primary tumours of the ribs. Clin Radiol. 2006;61(4):314–22.

    Article  CAS  PubMed  Google Scholar 

  5. Aydoğdu K, Findik G, Agackiran Y, Kaya S, Karaoglanoglu N, Tastepe I. Primary tumors of the ribs; experience with 78 patients. Interact Cardiovasc Thorac Surg. 2009;9(2):251–4.

    Article  PubMed  Google Scholar 

  6. Kim S, Lee S, Arsenault DA, Strijbosch RA, Shamberger RC, Puder M. Pediatric rib lesions: a 13-year experience. J Pediatr Surg. 2008;43(10):1781–5.

    Article  PubMed  Google Scholar 

  7. La Quaglia MP. Chest wall tumors in childhood and adolescence. Semin Pediatr Surg. 2008;17(3):173–80.

    Article  PubMed  Google Scholar 

  8. Hsu PK, Hsu HS, Lee HC, Hsieh CC, Wu YC, Wang LS, et al. Management of primary chest wall tumors: 14 years’ clinical experience. J Chin Med Assoc. 2006;69(8):377–82.

    Article  PubMed  Google Scholar 

  9. Assouad J, Masmoudi H, Berna P, Steltzlen C, Radu D, Riquet M, et al. Isolated rib metastases from renal cell carcinoma. Interact Cardiovasc Thorac Surg. 2010;10(2):172–5 (Epub 2009 Oct 5).

    Article  PubMed  Google Scholar 

  10. Sabanathan S, Salama FD, Morgan WE, Harvey JA. Primary chest wall tumors. Ann Thorac Surg. 1985;39(1):4–15.

    Article  CAS  PubMed  Google Scholar 

  11. Melliere D, Ben Yahia NE, Etienne G, Becquemin JP, de Labareyre H. Thoracic outlet syndrome caused by tumor of the first rib. J Vasc Surg. 1991;14(2):235–40.

    Article  CAS  PubMed  Google Scholar 

  12. Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 1. Benign tumors. Radiographics. 2003;23(6):1477–90.

    Article  PubMed  Google Scholar 

  13. Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics. 2003;23(6):1491–508.

    Article  PubMed  Google Scholar 

  14. O’Sullivan P, O’Dwyer H, Flint J, Munk PL, Muller NL. Malignant chest wall neoplasms of bone and cartilage: a pictorial review of CT and MR findings. Br J Radiol. 2007;80(956):678–84 (Epub 2006 Jun 22).

    Article  PubMed  Google Scholar 

  15. Gladish GW, Sabloff BM, Munden RF, Truong MT, Erasmus JJ, Chasen MH. Primary thoracic sarcomas. Radiographics. 2002;22(3):621–37.

    Article  PubMed  Google Scholar 

  16. Chen YQ, Yang Y, Xing YF, Jiang S, Sun XW. Detection of rib metastases in patients with lung cancer: a comparative study of MRI, CT and bone scintigraphy. PLoS One. 2012;7(12):e52213 (Epub 2012 Dec 27).

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Venkitaraman R, Cook GJ, Dearnaley DP, Parker CC, Khoo V, Eeles R, et al. Whole-body magnetic resonance imaging in the detection of skeletal metastases in patients with prostate cancer. J Med Imaging Radiat Oncol. 2009;53(3):241–7.

    Article  CAS  PubMed  Google Scholar 

  18. Li C, Liu ZS, Du XM, He L, Chen J, Wang W, et al. Clinical value of whole-body magnetic resonance diffusion weighted imaging on detection of malignant metastases. Chin Med Sci J. 2009;24(2):112–6.

    Article  PubMed  Google Scholar 

  19. Piperkova E, Mikhaeil M, Mousavi A, Libes R, Viejo-Rullan F, Lin H, et al. Impact of PET and CT in PET/CT studies for staging and evaluating treatment response in bone and soft tissue sarcomas. Clin Nucl Med. 2009;34(3):146–50.

    Article  PubMed  Google Scholar 

  20. Völker T, Denecke T, Steffen I, Misch D, Schönberger S, Plotkin M, et al. Positron emission tomography for staging of pediatric sarcoma patients: results of a prospective multicenter trial. J Clin Oncol. 2007;25(34):5435–41.

    Article  PubMed  Google Scholar 

  21. Schwarzbach MH, Dimitrakopoulou-Strauss A, Willeke F, Hinz U, Strauss LG, Zhang YM, et al. Clinical value of [18-F] fluorodeoxyglucose positron emission tomography imaging in soft tissue sarcomas. Ann Surg. 2000;231(3):380–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Tateishi U, Hosono A, Makimoto A, Nakamoto Y, Kaneta T, Fukuda H, et al. Comparative study of FDG PET/CT and conventional imaging in the staging of rhabdomyosarcoma. Ann Nucl Med. 2009;23(2):155–61 (Epub 2009 Feb 19).

    Article  PubMed  Google Scholar 

  23. Sabanathan S, Shah R, Mearns AJ. Surgical treatment of primary malignant chest wall tumours. Eur J Cardiothorac Surg. 1997;11(6):1011–6.

    Article  CAS  PubMed  Google Scholar 

  24. Ferraro P, Cugno S, Liberman M, Danino MA, Harris PG. Principles of chest wall resection and reconstruction. Thorac Surg Clin. 2010;20(4):465–73.

    Article  PubMed  Google Scholar 

  25. Putnam JB Jr. Outcomes of surgery for chest wall sarcomas. Thorac Surg Clin. 2010;20(4):535–42.

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors have declared that no conflict of interest exists.

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Authors and Affiliations

  1. Thoracic Surgery Department, 401 General Army Hospital, Athens, Greece

    Timothy Sakellaridis, Stylianos Gaitanakis & Anastasios Piyis

  2. 91-95 Antoniou Tritsi, 15238, Halandri, Greece

    Timothy Sakellaridis

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  1. Timothy Sakellaridis
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  2. Stylianos Gaitanakis
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  3. Anastasios Piyis
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Correspondence to Timothy Sakellaridis.

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Sakellaridis, T., Gaitanakis, S. & Piyis, A. Rib tumors: a 15-year experience. Gen Thorac Cardiovasc Surg 62, 434–440 (2014). https://doi.org/10.1007/s11748-014-0387-9

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  • DOI: https://doi.org/10.1007/s11748-014-0387-9

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