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Resected osteochondroma of the rib in an elderly patient

General Thoracic and Cardiovascular Surgery volume 58, pages 588–591 (2010)Cite this article

Abstract

Solitary osteochondroma of the rib is a rare primary chest wall tumor. Herein, we report a case of a successfully resected osteochondroma of the rib. The patient was a 73-year-old asymptomatic woman who came to our hospital regularly for treatment of hypertension and hyperlipidemia. A checkup chest roentgenogram showed a shadow at the right anterior chest wall consistent with a mass, and computed tomography showed a tumor arising from the right fourth rib. Because it was impossible to exclude completely the diagnosis of a well-differentiated chondrosarcoma, we performed resection of the right anterior chest wall and a re construction with a rigid prosthesis. The post operative course of the patient was unremarkable. The final pathological diagnosis of the rib tumor was osteochondroma.

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References

  1. Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, et al. Osteochondromas: review of the clinical, radiological and pathological features. In Vivo 2008;22:633.

    PubMed  Google Scholar 

  2. Mavrogenis AF, Papagelopoulos PJ, Soucacos PN. Skeletal osteochondromas revisited. Orthopedics 2008;31(10). pii: orthosupersite.com/view.asp?rID=32071.

  3. 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;23:1477.

    Article  PubMed  Google Scholar 

  4. Jin W, Hyun SY, Ryoo E, Lim YS, Kim JK. Costal osteochondroma presenting as haemothorax and diaphragmatic laceration. Pediatr Radiol 2005;35:706–709.

    Article  PubMed  Google Scholar 

  5. Suzuki T, Hori G, Yoshimatsu T, Andoh K. [A case of pneumothorax in a patient with costal exostosis.] Nippon Kyobu Geka Gakkai Zasshi 1991;39:1077–1080.

    CAS  PubMed  Google Scholar 

  6. Hajjar WM, El-Medany YM, Essa MA, Rafay MA, Ashour MH, Al-Kattan KM. Unusual presentation of rib exostosis. Ann Thorac Surg 2003;75:575–577.

    Article  PubMed  Google Scholar 

  7. Rosset P, Martinat H, Barsotti J, Gaisne E. [Osteogenic exostosis of the first rib: a rare etiology of thoracic outlet syndrome-apropos of a case.] Rev Chir Orthop Reparatrice Appar Mot 1990;76:62–65.

    CAS  PubMed  Google Scholar 

  8. Horvai A, Unni KK. Premalignant conditions of bone. J Orthop Sci 2006;11:412.

    Article  PubMed  Google Scholar 

  9. Ahmed AR, Tan TS, Unni KK, Collins MS, Wenger DE, Sim FH. Secondary chondrosarcoma in osteochondroma: report of 107 patients. Clin Orthop 2003:193–206.

  10. Staals EL, Bacchini P, Mercuri M, Bertoni F. Dedifferentiated chondrosarcomas arising in preexisting osteochondromas. J Bone Joint Surg Am 2007;89:987–993.

    Article  PubMed  Google Scholar 

  11. Lee FY, Mankin HJ, Fondren G, Gebhardt MC, Springfield DS, Rosenberg AE, et al. Chondrosarcoma of bone: an assessment of outcome. J Bone Joint Surg Am 1999;81:326–338.

    Article  CAS  PubMed  Google Scholar 

  12. Widhe B, Bauer HC. Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: a population-based Scandinavian Sarcoma Group study of 106 patients. J Thorac Cardiovasc Surg 2009;137:610–614.

    Article  PubMed  Google Scholar 

  13. McCarthy EF. CT-guided needle biopsies of bone and soft tissue tumors: a pathologist’s perspective. Skeletal Radiol 2007;36:181–182.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Hirai Division of Thoracic Surgery, Fukui Red Cross Hospital, 2-4-1 Tsukimi, Fukui, 918-8506, Japan

    Ryutaro Kikuchi, Nobuya Mino, Tadashi Matsukura & Takashi Hirai

Authors
  1. Ryutaro Kikuchi
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  2. Nobuya Mino
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  3. Tadashi Matsukura
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  4. Takashi Hirai
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Correspondence to Ryutaro Kikuchi.

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Kikuchi, R., Mino, N., Matsukura, T. et al. Resected osteochondroma of the rib in an elderly patient. Gen Thorac Cardiovasc Surg 58, 588–591 (2010). https://doi.org/10.1007/s11748-009-0570-6

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  • DOI: https://doi.org/10.1007/s11748-009-0570-6

Key words

  • Osteochondroma
  • Exostosis
  • Chest wall tumor
  • Surgery