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Eur J Cardiothorac Surg 2001;20:1030
© 2001 Elsevier Science NL


Images in cardio-thoracic surgery

Aneurysmal bone cyst of chest wall

R. Saoji, A. Heroor, S. Sharma, R. Deshpande

Department of Thoracic Oncology, Tata Memorial Hospital, Parel, Mumbai -400012, India

Received 12 February 2001; received in revised form 5 July 2001; accepted 19 July 2001.

Corresponding author. Tel.: +91-22-4155356; fax: +91-22-4155356
e-mail: ramandeshpande{at}vsnl.com

Key Words: Bone cyst • Chest wall • Tumor

A 43-year-old female, presented with left-sided chest pain since 1 year. The chest roentogram suggested left posterior mediastinal mass involving ribs. Computed tomography-scan and guided-FNAC (fine needle aspiration cytoloty) suggested a benign giant cell lesion, the differentials being ABC and giant cell tumor. Wide excision of tumor was performed (Figs. 1 and 2). Histopathology showed an encapsulated bony mass 17x12x8 cm suggestive of ABC.



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Fig. 1. Computed tomography scan showing expansible mass arising from posterior part of left 5th/6th rib causing destruction of transverse process and left half of body of 5th dorsal vertebra with large intra-thoracic posterior mediastinal component.

 


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Fig. 2. Microphotograph showing multiloculated cavities with extensive haemorrhage, hylinization and reactive bone formation suggestive of aneurysmal bone cyst.

 




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