Periosteal chondroma developing in a rib at the side of a chest wall wound from a previous thoracotomy: Report of a case

Abstract

We describe herein the case of a 45-year-old man who developed a periosteal chondroma in a rib at the site of a thoracotomy that had been performed 24 years previously. To our knowledge, this is only the third case of a periosteal chondroma in a rib to be documented in the world literature. Some authors have suggested that trauma, including that of surgery, may induce chondroma formation and this association could have been an important contributing factor in the induction of the tumor in this patient.

Periosteal chondroma of the rib possibly associated with hemothorax: a case report

“…A radiographic characteristic is a soft tissue mass adjacent to the cortex, appearing as a semilunar-shaped cortical concavity with reactive sclerotic base. Only 8 reports have described periosteal chondroma of the rib (Table 1) [5][6][7][8][9][10]. Treatment of choice for periosteal chondroma is en bloc resection to prevent recurrence.…”

Periosteal chondroma of the rib—report of a case and literature review

“…The tumor size is usually less than 6 cm in greatest dimension [3,5,6,9]. [3] 2 Cases No other information provided Morisaki et al [8] 45 y, Male Painful mass Inoue et al [9] 5 y, Male Pain and rib swelling Inoue et al [9] 39 y, Male 2-mo History of cough, coin lesion on x-ray Current case 11 y, Female Incidental finding on x-ray Histologically, periosteal chondromas show a lobulated configuration of hyaline cartilage covered by periosteum [2,4]. They are usually hypocellular, although occasionally may focally show increased cellularity with nuclear pleomorphism, binucleation, and multinucleation [3,5,6].…”

“…The most common location for periosteal chondromas are in the metaphyses of long tubular bones, particularly a proximal humerus, although small tubular bones of hands and feet can also be involved [1,3,6]. To our knowledge, periosteal chondroma arising in the rib has been reported only 10 times in the English literature [3,[7][8][9][10].…”

Gigantic clavicle osteochondroma with carotid compression as a rare cause of stroke

“…However, we found no reported cases of postoperative osteochondroma, as described for periosteal chondroma. 9 Management of the lesion included surgery, which was performed after 3 weeks of medical treatment by low-molecular-weight heparin given at a curative dose in order to avoid the risk of embolism during the procedure, as recommended by several authors in the case of floating thrombus of the internal carotid artery. 10 The risk of a new neurologic event during this period is worthy of discussion; however, there is currently no consensus in the literature advocating surgical treatment either during the acute phase or after medical treatment.…”