Chest wall mass with double pathology

Intrathoracic neurogenic tumors arising from chest wall are generally rare tumors. The benign soft tissue tumors may produce compression effect on the chest wall but are generally free. The presence of unusual adherence raises the suspicion of malignancy. Our case report describes the clinical featu...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2006-04, Vol.29 (4), p.625-626
Main Authors: Pandiyan, Murugu Sundara, Kavunkal, Alpha Mathew, Cherian, Vijit Koshy, Christopher, Devasahayam J.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cardiology. Vascular system
Humans
Male
Medical sciences
Neurilemmoma - complications
Neurilemmoma - diagnostic imaging
Osteomyelitis - complications
Osteomyelitis - diagnostic imaging
Pneumology
Radiography
Ribs
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thoracic Neoplasms - complications
Thoracic Neoplasms - diagnostic imaging
Thoracic Wall
Tuberculosis, Osteoarticular - complications
Tuberculosis, Osteoarticular - diagnostic imaging
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Summary:Intrathoracic neurogenic tumors arising from chest wall are generally rare tumors. The benign soft tissue tumors may produce compression effect on the chest wall but are generally free. The presence of unusual adherence raises the suspicion of malignancy. Our case report describes the clinical features of a young male who underwent excision of a left posterosuperior chest wall mass with a portion of the fourth rib. Histopathological examination unexpectedly revealed the existence of two different pathologies. The mass was found to be benign schwannoma and the rib showed features of tuberculous osteomyelitis. Inflammatory response and fibrous reaction mimicked the features of malignancy.
ISSN:1010-7940
1873-734X
DOI:10.1016/j.ejcts.2005.12.029