The inflammatory myofibroblastic tumor is a rare tumor described in the literature as a type of inflammatory pseudotumor. It mainly has a pulmonary location but can appear at endobronchial or mediastinal sites on rarely. While it is a benign tumor, it can sometimes be unpredictable due to its invasive characteristic as well as its resurgence after complete excision. We report the case of a patient presenting hemoptysis. The bronchoscopy revealed a bud in the left upper lobe bronchus, and the biopsy pointed to a myofibroblastic tumor. In one month, interval, the bud extended to the left main bronchus, hence the indication of a left pneumonectomy, performed by posterolateral thoracotomy. The study of the operative specimen confirmed the biopsy diagnosis. The particularity of our case is the endobronchial presentation and the fast evolution of this inflammatory myofibroblastic tumor, which requires a pneumonectomy.

Chondrosarcoma of a rib is a very rare malignant tumor of the bone. Most patients are present with an enlarging painful anterior chest wall tumor. We present a case of 32-years old female with a thoracoabdominal tumor size of 20 cm × 16cm involving the left 9th rib. Since chondrosarcoma is less sensitive to chemotherapy and radiotherapy, surgical treatment with extensive resection with a sufficient margin is considered first-line treatment. Sufficient soft-tissue reconstruction of the thoracic wall after extensive resection represents a formidable challenge. This article aims to illustrate the possibility of resection of the six last ribs with no complicated reconstruction technique.

Hydatid cystic disease caused by the parasite Echinococcus granulosus is one of the major health problems in underdeveloped countries. Mediastinal localization is very rare. We report a rare case of hydatid disease in the posterior mediastinum with an enormous aorta defect. The patient underwent vascular graft placement without shunting or bypass.