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Eur J Cardiothorac Surg 2004;26:826-827
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Aneurysmal bone cyst of the first rib

Mehmet Srmal^a,*, Yetkin Aaçkran^b, Ertan Aydn^a, Sadi Kaya^a

^a Department of Thoracic Surgery, Atatürk Training and Research Hospital for Chest Disease and Chest Surgery, Ankara, Turkey
^b Department of Pathology, Atatürk Training and Research Hospital for Chest Disease and Chest Surgery, Ankara, Turkey

Received 17 May 2004; received in revised form 30 June 2004; accepted 5 July 2004.

^* Corresponding author. Address: Kardelen mahallesi Mobilyaclar sitesi, 482/19 Batkent, Ankara, Turkey. Tel.: +90-312-3801031; fax: +90-312-2568136. (E-mail: mehmetsirmali{at}yahoo.com).

A 16-year-old boy was seen for his complaints of pain on his left shoulder and left arm for the last 4 months. The physical examination revealed a hard mass in the left supraclavicular region and his medical history was unremarkable for any trauma. Chest X-ray demonstrated a mass in the left upper zone (Fig. 1A). Magnetic resonance imaging of the thorax depicted the mass lesion 5x6x7.5cm in dimensions, including multiple septal formations in the location of left first rib (Fig. 1B). The left first rib was resected en bloc with the adjacent soft tissues via left posterior thoracotomy. Postoperative pathological evaluation was consistent with aneurysmal bone cyst (Fig. 2).

View larger version (88K): [in this window] [in a new window]   Fig. 1. (A) Chest radiograph demonstrating a nonhomogenous mass with regular margins in the left upper zone. (B) Magnetic resonance imaging of the thorax.

View larger version (154K): [in this window] [in a new window]   Fig. 2. It consists of cellular connective tissue in which there are numerous large thin-walled blood vessels and many lymphocytes, multinucleated giant cells of osteoclast type, as well as trabeculae of eosinophilic osteoid. Extensive hemorrhage has occurred from the large blood vessels. (H.Ex100).

This article has been cited by other articles:

				C. Cheng, S.-C. J. Yeung, F.-t. Zhong, Y. Xiong, H.-h. Luo, S. Ji, and J. Pan Aneurysmal Bone Cyst in the First Rib Ann. Thorac. Surg., June 1, 2008; 85(6): 2118 - 2120. [Abstract] [Full Text] [PDF]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Ertan Aydin Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sirmali, M. Articles by Kaya, S. Search for Related Content PubMed PubMed Citation Articles by Sirmali, M. Articles by Kaya, S. Related Collections Chest wall