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Eur J Cardiothorac Surg 2003;24:450
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Giant-cell tumour of the rib

Rajashekara H.V. Reddy, Scott Queen, Ali N.A. Jilaihawi, Dhruva Prakash*

Department of Thoracic Surgery, Hairmyres Hospital, Eaglesham Road, East Kilbride G75 8RG, UK

Received 4 December 2002; received in revised form 29 April 2003; accepted 30 April 2003.

* Corresponding author. Tel.: +44-1355-584661; fax: +44-1355-584473
e-mail: letitia.evans{at}laht.scot.nhs.uk

Key Words: Giant-cell tumour • Chest wall tumour

A 25-year old woman presented with a painless mass (8x5 cm) from the anterior end of the right eighth rib. Computed tomography-guided Tru-cut biopsy reported this as a giant-cell tumour (Fig. 1) . It was widely excised with a rib above and below and the defect was reconstructed (Fig. 2) . Pathologically it was a giant-cell tumour with secondary changes of aneurysmal bone cyst formation.



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  		Fig. 1. (A) Computed tomography scan of the chest showing lobulated mass from the right rib without distinct plane between mass and the liver. (B) Magnetic resonance image (T2 image) of the chest and abdomen showing a multi-lobulated mass from the right chest wall with an indentation on the liver, but a well-defined plane is maintained between the two.

 


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  		Fig. 2. Resected specimen depicting segments of 7, 8 and 9 ribs with well-encapsulated tumour.

 




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