title: A Rare Case of Hamartoma Chest Wall Following Trauma in a 42-year-old Man.
abstract: BACKGROUND
  Chest wall mesenchymal hamartoma (CWH) is a distinct and extremely rare tumor-like lesion of the thorax. It usually presents in the neonatal period or in infancy. The common presentation is in the form of a visible chest wall mass with or without respiratory distress.
  
  
  METHODS
  A 42-year-old man with a history of chest wall trauma since 5 years ago was admitted with a swelling of the anterior of the chest wall and during this period has grown slowly. Physical examination showed a left anterior chest wall deformity. Chest radiographs and chest CT showed a left anterolateral chest wall mass involving the fourth and fifth ribs. Thoracotomy was performed. The tumor and involved ribs were resected with a 5cm safe margin. The histopathologic examination showed hamartoma. The patient has been fallowed up since 60 month ago, and has not had any complaints in this time.
  
  
  RESULTS
  Despite the rarity of chest wall hematoma, this side effect must always be taken into consideration while studying the chest wall injuries especially in the case of trauma history due to other differential diagnosis and her side effects such as respiratory problems.
  
  
  CONCLUSIONS
  Although rare, this condition ought to be kept in mind while dealing with hamartoma Chest wall following trauma in order to avoid its complications such as respiratory problems. Surgical excision is usually curative in combination with conservative therapy if possible.
authors.affiliation: Department of Surgery, Alborz University of Medical Sciences, Karaj, Iran.
authors.forename: Mojtaba
authors.initials: M
authors.lastname: Ahmadinejad
authors.affiliation: Department of Pathology, Lorestan University of Medical Sciences, Khorram Abad, Iran.
authors.forename: Asghar Alie
authors.initials: AA
authors.lastname: Pour
authors.affiliation: Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran.
authors.forename: Peyman Khadem
authors.initials: PK
authors.lastname: Hosseini
authors.affiliation: Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Amir Masoud
authors.initials: AM
authors.lastname: Hashemian
authors.affiliation: Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran.
authors.forename: Koorosh
authors.initials: K
authors.lastname: Ahmadi
mesh_terms: D000328:Adult; D006222:Hamartoma / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications*; D035441:Thoracic Wall
keywords: Adult; Chest wall; Hamartoma