Abstract
We report a case of low-grade central osteosarcoma of the rib, mimicking fibrous dysplasia protuberans or parosteal osteosarcoma. A 13-year-old boy presented with a densely ossified exophytic tumor in the left sixth rib. The surgically resected rib revealed an ossified tumor that had developed within bone and had formed an exophytic mass. Microscopic examination revealed parosteal osteosarcoma-like low-grade central osteosarcoma. Low-grade central osteosarcomas rarely affect the rib, and exophytic tumor formation is also rare. This tumor required differentiation from fibrous dysplasia protuberans and parosteal osteosarcoma because of its clinical presentation.
Similar content being viewed by others
References
Unni KK. Dahlin’s bone tumors: general aspects and data on 11,087 cases, 5th edn. Philadelphia: Lippincott-Raven, 1996.
Dorfman HD, Czerniak B. Bone tumors. St Louis: CV Mosby, 1998.
Inward CY, Knuutila S. Low grade central osteosarcoma. In: Fletcher CDM, Unni KK, Mertens F, eds. World Health Organization classification of tumours: pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press, 2002:275–276.
Inward CY. Low-grade central osteosarcoma versus fibrous dysplasia. Pathol Case Rev 2001; 6:22–27.
Park Y-K, Choi SE, Ryu KN. Well-differentiated osteosarcoma of the rib. J Korean Med Sci 1988; 13:428–430.
Kurt A-M, Unni KK, McLeod RA, Pritchard DJ. Low-grade intraosseous osteosarcoma. Cancer 1990; 65:1418–1428.
Andresen KJ, Sundaram M, Unni KK, Sim FH. Imaging features of low-grade central osteosarcoma of the long bones and pelvis. Skeletal Radiol.2004; 33:373–379.
Bertoni F, Bacchini P, Fabbri N, Mercuri M, Picci P, Ruggieri P, Campanacci M. Osteosarcoma: low-grade intraosseous-type osteosarcoma, histologically resembling parosteal osteosarcoma, fibrous dysplasia, and desmoplastic fibroma. Cancer 1993; 71:338-345.
Dorfman HD, Ishida T, Tsuneyoshi M. Exophytic variant of fibrous dysplasia (fibrous dysplasia protuberans). Hum Pathol 1994; 25:1234–1237.
Author information
Authors and Affiliations
Corresponding author
Additional information
Presented at the 31st Closed Meeting of the International Skeletal Society in Malta, October 2004
Rights and permissions
About this article
Cite this article
Yamaguchi, T., Shimizu, K., Koguchi, Y. et al. Low-grade central osteosarcoma of the rib. Skeletal Radiol 34, 490–493 (2005). https://doi.org/10.1007/s00256-004-0875-6
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-004-0875-6