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- Title
Xanthomatous Posttraumatic Fibro-Osseous Lesion of the Rib: A Rare and Underrecognized Entity. Case Report and Literature Review.
- Authors
Nassereddine, Hussein; Larousserie, Frédérique; Campagna, Raphaël; Castier, Yves; Couvelard, Anne; Choudat, Laurence; Sannier, Aurélie
- Abstract
Posttraumatic fibro-osseous lesion (PTFOL) is a rare lesion that typically affects the ribs and is probably a posttraumatic reactive process. Because PTFOL is often misdiagnosed as fibrous dysplasia, osteoid osteoma, benign fibrous histiocytoma or rib metastases, chest wall resection, leading to a significant morbidity, is the main treatment modality. We report the case of a 30-year-old male patient with no history of previous trauma presenting with chest pain. Computed tomography scan showed an eighth left rib well-defined ovoid and hypodense lesion with circumferential sclerotic margin and no cortical breakthrough. Posterolateral thoracotomy was performed and a histological diagnosis of xanthomatous posttraumatic fibro-osseous lesion of the rib was made. PTFOL is a benign lesion that should be recognized to avoid unnecessary surgical treatment and complications. We provide a summary of clinical, histopathological, and radiological aspects of PTFOL and discuss differential diagnoses.
- Subjects
RIB injuries; POST-traumatic stress disorder; CHEST pain; FIBROUS dysplasia of bone; COMPUTED tomography; PATIENTS
- Publication
International Journal of Surgical Pathology, 2017, Vol 25, Issue 7, p640
- ISSN
1066-8969
- Publication type
Case Study
- DOI
10.1177/1066896917712455