• Contact us
  • E-Submission

Ewha Med J : The Ewha Medical Journal

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
JOURNAL POLICIES
FOR CONTRIBUTORS

Articles

Page Path

Case Report

Expansile Mass of the Rib

Kyung Seon Park, Hyeon Hui Kang, Ji Hyun Kim, Hwa Young Lee, Kyung Yoon Chang, Hae Kyung Yang, Sang Haak Lee, Hwa Sik Moon, Bae Young Lee1
The Ewha Medical Journal 2012;35(1):58-61. Published online: March 31, 2012

Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.

1Department of Radiology, St. Paul's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.

Corresponding author: Sang Haak Lee, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea School of Medicine, 180 Wangsan-ro, Dongdaemun-gu, Seoul 130-709, Korea. Tel: 82-2-958-2114, Fax: 82-2-968-7250, agmante@gmail.com
• Received: January 12, 2012   • Accepted: February 16, 2012

Copyright © 2012. Ewha Womans University School of Medicine

  • 33 Views
  • 0 Download
prev next

Full Article

Download PDF Download PDF
  • A 60-year-old man visited our hospital because of the incidentally found mass of the rib on chest radiography. Chest X-ray showed expansile bony hypertrophy on left 5th rib and bone setting of the computed tomography scan of chest revealed 4.2×2.5 cm sized, elongated bony expansion with geographic radiolucent lesion in the medullary cavity and cortical thinning. Technetium-99m bone scintigraphy showed diffusely increased radioactivity along the left 5th rib. We present this case to discuss about a possible differential diagnosis in this type of lesion.
  • Keywords: Ribs; Fibrous dysplasia; Bone neoplasms
  • 1. Seo JS. Yoo HS. Radiology of musculoskeletal system. Textbook of diagnostic radiology 2003;2nd ed. Seoul, Korea Medical Book Publishing. 423-433.
  • 2. Baumgartner F, Section X. Bongard FS, Stomos MJ, Passaro E. Cardiothoracic surgery. Surgery: a clinical approach 1997;1st ed. New York, Churchill Livingstone Inc.. 375-379.
  • 3. Ryan MB, McMurtrey MJ, Roth JA. Current management of chest-wall tumors. Surg Clin North Am 1989;69:1061-1080.
  • 4. Daffner RH, Kirks DR, Gehweiler JA Jr, Heaston DK. Computed tomography of fibrous dysplasia. AJR Am J Roentgenol 1982;139:943-948.
  • 5. Riminucci M, Liu B, Corsi A, Shenker A, Spiegel AM, Robey PG, et al. The histopathology of fibrous dysplasia of bone in patients with activating mutations of the Gs alpha gene: site-specific patterns and recurrent histological hallmarks. J Pathol 1999;187:249-258.
  • 6. Hughes EK, James SL, Butt S, Davies AM, Saifuddin A. Benign primary tumours of the ribs. Clin Radiol 2006;61:314-322.
  • 7. DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am 2005;87:1848-1864.
Fig. 1
Posteroanterior chest radiography shows expansile bony hypertrophy on left 5th rib.
emj-35-58-g001.jpg
Fig. 2
Bone setting of the computed tomography scan of the chest shows elongated bony expansion with geographic radiolucent lesion in the medullary cavity and cortical thinning of left 5th rib (arrow).
emj-35-58-g002.jpg
Fig. 3
Technetium-99m bone scintigraphy shows diffusely increased uptake of isotope along the left 5th rib.
emj-35-58-g003.jpg
Fig. 4
Microscopic finding of excisional biopsy of the rib shows irregular spindles of woven bone (characteristic chinese letter, arrow) without osteoblastic rimming and a proliferation of fibroblast consistent with fibrous dysplasia (H&E stain, ×100).
emj-35-58-g004.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  

      Download Citation

      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:

      Include:

      Expansile Mass of the Rib
      Ewha Med J. 2012;35(1):58-61.   Published online March 31, 2012
      DOI: https://doi.org/10.12771/emj.2012.35.1.58
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Expansile Mass of the Rib
      Ewha Med J. 2012;35(1):58-61.   Published online March 31, 2012
      DOI: https://doi.org/10.12771/emj.2012.35.1.58
      Close

      Figure

      • 0
      • 1
      • 2
      • 3
      Expansile Mass of the Rib
      Image Image Image Image
      Fig. 1 Posteroanterior chest radiography shows expansile bony hypertrophy on left 5th rib.
      Fig. 2 Bone setting of the computed tomography scan of the chest shows elongated bony expansion with geographic radiolucent lesion in the medullary cavity and cortical thinning of left 5th rib (arrow).
      Fig. 3 Technetium-99m bone scintigraphy shows diffusely increased uptake of isotope along the left 5th rib.
      Fig. 4 Microscopic finding of excisional biopsy of the rib shows irregular spindles of woven bone (characteristic chinese letter, arrow) without osteoblastic rimming and a proliferation of fibroblast consistent with fibrous dysplasia (H&E stain, ×100).

      Fig. 1

      Fig. 2

      Fig. 3

      Fig. 4

      Expansile Mass of the Rib
      Ewha Med J : The Ewha Medical Journal

      ABOUT

      BROWSE ARTICLES 

      JOURNAL POLICIES

      FOR CONTRIBUTORS 

      © Ewha Womans University College of Medicine.
      TOP