title: Solitary osteochondroma of the twelfth rib with intraspinal extension and cord compression in a middle-aged patient.
abstract: BACKGROUND
  Osteochondroma is a disease of growing bone and thus typically presents in younger patients. It has rarely been described in middle-aged and elderly patients. Data on the occurrence of osteochondroma show that the reported incidence of costal osteochondroma is very low. Moreover, costal osteochondroma arising at the costovertebral junction with neural foraminal extension and spinal cord compression is extremely rare.
  
  
  METHODS
  This study reports the case of a 58-year-old patient with a solitary osteochondroma of the 12th rib with intraspinal extension and spinal cord compression. The clinical history, plain radiographs, computed tomography (CT), magnetic resonance imaging, and pathologic findings of the reported patient have been reviewed. The relevant medical literature has also been reviewed. The patient was treated with surgery for complete tumour excision to avoid tumour recurrence. After surgery, the patient's symptoms improved. An additional CT scan obtained at 1 year after surgery did not show any evidence of recurrence.
  
  
  CONCLUSIONS
  This patient is the oldest patient reported to have this rare form of costal osteochondroma. The age of the patient and the erosion of the adjacent bones raised clinical suspicion of malignancy; therefore, surgical management involved complete tumour excision with thoracolumbar fixation and fusion.
authors.affiliation: Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Suwon, Korea. gumjung70@gmail.com
authors.forename: Jung Hyun
authors.initials: JH
authors.lastname: Shim
authors.forename: Choon Keun
authors.initials: CK
authors.lastname: Park
authors.forename: Seung Ho
authors.initials: SH
authors.lastname: Shin
authors.forename: Hee Sun
authors.initials: HS
authors.lastname: Jeong
authors.forename: Jang Hoe
authors.initials: JH
authors.lastname: Hwang
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D015831:Osteochondroma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010027:Osteotomy; D011237:Predictive Value of Tests; D012272:Ribs / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult