Kikuchi Ryutaro, Mino Nobuya, Matsukura Tadashi, Hirai Takashi
Hirai Division of Thoracic Surgery, Fukui Red Cross Hospital, 2-4-1 Tsukimi, Fukui, 918-8506, Japan.
Gen Thorac Cardiovasc Surg. 2010 Nov;58(11):588-91. doi: 10.1007/s11748-009-0570-6. Epub 2010 Nov 11.
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.
肋骨孤立性骨软骨瘤是一种罕见的原发性胸壁肿瘤。在此，我们报告一例成功切除的肋骨骨软骨瘤病例。患者为一名73岁无症状女性，因高血压和高脂血症定期来我院治疗。胸部X线检查显示右前胸壁有一阴影，与肿块相符，计算机断层扫描显示肿瘤起源于右第四肋骨。由于无法完全排除高分化软骨肉瘤的诊断，我们进行了右前胸壁切除并使用坚固假体进行重建。患者术后过程顺利。肋骨肿瘤的最终病理诊断为骨软骨瘤。
