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Eur J Cardiothorac Surg 2005;27:513
© 2005 Elsevier Science NL


Images in cardio-thoracic surgery

Coexisting fibrous dysplasia and bone cyst of a rib after labour trauma

Aydin Nadira, Melih Kaptanoglua,*, Fahrettin Gozeb

a Department of Thoracic Surgery, Cumhuriyet University Hospital, PK: 702, 58141 Sivas, Turkey
b Department of Pathology, Cumhuriyet University Hospital, PK: 702, 58141 Sivas, Turkey

Received 3 November 2004; received in revised form 3 December 2004; accepted 9 December 2004.

* Corresponding author. Tel.: +90 346 219 1300/2146/505 428 1756; fax: +90 346 219 1284. (E-mail: melih{at}ttnet.net.tr).

Key Words: Bone cyst • Chest wall • Fibrous dysplasia • Trauma

A 39-year-old woman with a painfull mass of right chest wall (Fig. 1) is presented. Her ribs had been broken, 13 years ago during the delivery. We performed chest wall resection and reconstruction with a graft (Fig. 2).



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Fig. 1. CT scan demonstrated both cystic (C) and solid (S) lesions at the sixth rib. The solid lesion was in the anterior and lateral portion, whereas the cystic lesion was located in the middle, and inner part.

 


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Fig. 2. The inner surface of the resection material is seen. Cystic (C) and solid (S) areas are in close vicinity. The cortex of the rib was very soft and thin over the cystic area. Approximately 50ml yellowish-brown clear fluid was aspirated. No malignancy was found in the fluid and pathologic examination of the specimen revealed fibrous dysplasia.

 





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