Aneurysmal bone cyst of the rib: a review and report of two cases (original) (raw)
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Giant aneurysmal bone cyst of the rib: a case with radiological findings
European journal of general medicine, 2016
Aneurysmal bone cyst (ABC), especially in the ribs, is a rare disease, considering to be a benign lesion which occurs mostly in children and young adults. This case, however, concerns a 46-year-old female patient, with complaints of pain and palpable mass in the right thoracic wall, who was diagnosed to have ABC originating from the rib demonstrated by radiological examinations, aspiration biopsy, and histopathological verification. Surgical resection was performed to the lesion.
Aneurysmal bone cyst of rib presenting as a huge chest wall mass
The Turkish journal of pediatrics
Aneurysmal bone cyst is a rare benign tumor of the bone that can be difficult to distinguish from malignant tumors, especially when it presents in an unusual location. Herein, we report a six-year-old girl with a primary aneurysmal bone cyst in an uncommon location. It originated from the 4th rib and she presented with a huge chest wall mass. Despite the large size of the cyst, the only symptom was persistent cough. She was successfully treated with total excision of tumor without any complication. The patient has been followed up for 56 months without any recurrence.
Aneurysmal bone cyst of the rib: a case report
Journal of Medical Case Reports, 2009
Introduction: An aneurysmal bone cyst is a benign, but expansile tumor like lesion that generally occurs in the long bones including the vertebral column. An aneurysmal bone cyst arising from the rib, especially in the elderly, is extremely rare.
Unusual presentation of an aneurysmal bone cyst: A case report and literature review
Aneurysmal bone cysts (ABCs) are non-neoplastic primary bone tumors, typically involving the long bones and vertebrae in the first 2 decades of life. ABCs require prompt diagnosis and intervention due to their rapidly expansile nature and ability to destroy the adjacent normal bone. ABCs rarely affect the rib. We report a case of a 51-year-old female presenting with chronic dry cough and right upper back pain. A chest X-ray and computed tomography scan revealed an expansile, lytic mass affecting the posterior aspect of the third right rib. The third right rib was resected using a posterolateral, Shaw-Paulson approach. Histopathology of the resected mass confirmed the diagnosis of ABC. There were no intra-or perioperative complications, and follow-up X-ray was normal.
Diagnostic and interventional imaging, 2013
The authors propose a pictorial review illustrating the imaging features of chest wall tumors and their specific features that discusses the main differential diagnoses. This review is based on published information and on our own experience.
Post-traumatic Fibro-Osseous Lesion of the Fourth Rib Simulating a Chest Wall Tumor: A Case Report
Korean Journal of Family Medicine
Post-traumatic fibro-osseous lesions (PTFOL) are a rare and benign tumor that typically affects the ribs and is probably caused by an excessive post-traumatic reactive process. PTFOL primarily affects the sixth, seventh, and eighth ribs. Here, we report a case of a PTFOL with an unusual location and expansion that simulated a malignant chest tumor. A 28-year-old male patient with a history of minor chest trauma presented with pain. Chest radiography revealed a large, well-defined lesion on the left fourth rib, and computed tomography (CT) of the chest revealed a lytic lesion-type IC on the posterior and middle arches of the left fourth rib with a cartilaginous matrix and discontinued periosteal reaction without soft tissue mass extension. Additionally, magnetic resonance imaging of the chest revealed an ovoid, expansive mass with cystic lobules and lobulated contours extending almost over the entire left fourth rib, measuring 134×47 mm in size. This mass has a low signal on T1-weighted images and a heterogeneous intermediate signal on T2-weighted images, with intense enhancement after gadolinium injection suggestive of a malignant chest tumor. A CT-guided bone biopsy confirmed the presence of an intramedullary lesion consisting of fibrous connective tissue with fusiform fibroblastic cells without atypical signs. The lesion was delimited by bone trabeculae with nibbled edges, indicating exaggerated osteoclastic activity compatible with a diagnosis of PTFOL. The patient was treated with simple analgesics, and chest pain was relieved, with an unchanged volume of the lesion at 1 year of follow-up.
Expansile Lytic Lesions of Rib: Two Rare Case Reports
Of all primary bony tumors, chest wall is involved in only 5-8 % cases. Chondroblastoma and aneurysmal bone cyst (ABC) rarely occur in chest wall. Here, we would be presenting two such rare cases .One, a 26 year old male presenting with history of chest pain for 1 ½ year and other a 37 year old male with the chief complaint of pain in left shoulder for 3 years. X-ray, CT scan and MRI was done followed by guided FNAC and diagnosis of aneurysmal bone cyst in case1 and chondroblastoma in case 2 was made.
Primary tumors of the ribs; experience with 78 patients
Interactive CardioVascular and Thoracic Surgery, 2009
A retrospective study of primary tumors of the ribs (PTR) was conducted to review their clinical, radiological, and pathological features, as well as the early and long-term results of surgical management. Seventy-eight patients (48 male, 30 female, age range: 7-80 years) with PTR were treated in our clinic between January 1998 and July 2008. Forty-nine (63%) of the patients had benign lesions and 29 (37%) had malignant lesions. In the group with malignant tumors, the main symptom was pain, but in the group with benign tumors, the main symptom was swelling. Eight cases in the benign group and four cases in the malignant group were asymptomatic (accidental radiological findings in recruitment centers). Most of the patients with PTR had benign lesions. All PTR should be considered as malignant until proven otherwise. Surgery must consist of wide resection with tumor-free margins in order to provide the best chance for cure in both benign and malignant lesions.
American Journal of Roentgenology, 2009
tains the intercostal vessels and nerves. Care must be taken to avoid this area when performing interventional procedures. Calcification of the costal cartilages tends not to be radiographically apparent in most healthy patients younger than 35 years. Before that age, calcification of the costal cartilages may be associated with chronic renal failure, thyroid disease, autoimmune disorders, and chondrosarcoma [2]. The normal patterns of calcification differ between males and females, usually appearing as peripheral parallel lines in males (Fig. 4A) and as central, globular clumps in females (Fig. 4B). Rib Pathology Congenital Disorders: Lymphangiomatosis Lymphangiomatosis is a rare congenital malformation of lymphatic vessels that occupies multiple bones, usually causing osteolysis or, less commonly, sclerosis [3] (Fig. 5). Neoplastic Disorders Metastasis-Metastatic disease is the most common malignant rib lesion [4] (Fig. 6). Most often, the primary neoplasm is in the breast, prostate gland, lung, or kidney. Rib metastases may be osteolytic, sclerotic, or mixed. Rib lesions detected on bone scintigraphy often require further characterization with radiography or CT to improve specificity (Fig. 7). Teaching Point: Metastasis is the most common malignant rib lesion. Teaching Point: Although bone scintigraphy is highly sensitive for rib lesions, it lacks specificity. Correlative radiography or CT improves specificity.