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 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.
Department of Cardiothoracic Surgery Unit-I, Christian Medical College and Hospital, Vellore 632 004, Tamil Nadu, India. murugusp@yahoo.com
Murugu Sundara
MS
Pandiyan
Alpha Mathew
AM
Kavunkal
Vijit Koshy
VK
Cherian
Devasahayam J
DJ
Christopher
D000328:Adult; D006801:Humans; D008297:Male; D009442:Neurilemmoma / Q000150:complications / Q000000981:diagnostic imaging*; D010019:Osteomyelitis / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography; D012272:Ribs; D013899:Thoracic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D035441:Thoracic Wall; D014394:Tuberculosis, Osteoarticular / Q000150:complications / Q000000981:diagnostic imaging*