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Alpha Mathew Kavunkal
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Eur J Cardiothorac Surg 2006;29:625-626
© 2006 Elsevier Science NL

Case report

Chest wall mass with double pathology

Murugu Sundara Pandiyan a , * , Alpha Mathew Kavunkal a , Vijit Koshy Cherian a , Devasahayam J. Christopher b

a Department of Cardiothoracic Surgery Unit-I, Christian Medical College and Hospital, Vellore 632 004, Tamil Nadu, India
b Department of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India

Received 24 November 2005; received in revised form 13 December 2005; accepted 15 December 2005.

* Corresponding author. Tel.: +91 416 2282029; fax: +91 416 2232035. (Email: murugusp{at}yahoo.com).

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.

Key Words: Chest wall • Mediastinal • Neurogenic • Tumors






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Copyright © 2006 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.