대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제84권1호
  • /
  • Pages.270-274
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  • 2023
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  • 1738-2637(pISSN)
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  • 2951-0805(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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젊은 남성에서 딱딱한 유방 덩이로 만져진 갈비뼈 골연골종의 드문 증상: 증례 보고

Unusual Presentation of a Rib Osteochondroma as Hard Breast Lump in a Young Male: A Case Report

  • Vendoti Nitheesha Reddy (Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)) ;
  • Krishnan Nagarajan (Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)) ;
  • Vendoti Midhusha Reddy (Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER))
  • 투고 : 2022.03.29
  • 심사 : 2022.07.08
  • 발행 : 2023.01.01
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초록

갈비뼈에서 발생하는 골연골종은 드물다. 골연골종은 갈비뼈에서 자라서 흉부 밖으로는 피하로 확장되거나 흉부 안으로는 폐 또는 종격동 구조물들을 압박한다. 23세 남자 환자가 작년부터 만져지는 유방 덩이를 주소로 내원했다. 임상 검사에서 소엽 모양의 단단한 뼈 돌기로 촉진되었다. 흉부 영상과 조영증강 CT에서 오른쪽 4번째 갈비뼈의 갈비뼈연골접합부의 앞쪽에 뼈의 과성장이 보였고 대흉근을 밀고 있었다. 유방의 단단한 덩이를 주소로 온 경우 다른 흉곽종양과 함께 골연골종이 감별진단에 포함되어야 한다.

Osteochondroma arising from the rib is rare. They arise as bony outgrowths from the rib and extend either extrathoracically into the subcutaneous plane or intrathoracically compressing the lung or mediastinal structures. A 23-year-old male patient presented with complaints of breast lump since last year. On clinical examination, a hard bony projection with lobulated contour was palpable. Chest radiograph and contrast-enhanced CT showed a bony outgrowth arising from the anterior aspect of costochondral junction of the right fourth rib with displacement of pectoralis major muscle anteriorly. Osteochondroma should be considered as a differential diagnosis in the presentation of hard lump in the breast along with other chest wall tumors.

키워드

참고문헌

  1. Jilowa S, Paliwal P, Kapur A, Verma GC. Exostosis of rib: case report of an extremely rare giant osteochondroma at an unusual site, radiopathological correlation with brief review of literature. Indian J Radiol Imag 2021;31:740-744.  https://doi.org/10.1055/s-0041-1736406
  2. Kadu V, Saindane KA, Goghate N, Goghate N. Osteochondroma of the rib: a rare radiological appearance. J Orthop Case Rep 2015;5:62-64 
  3. Nakano T, Endo S, Tsubochi H, Tetsuka K. Thoracoscopic findings of an asymptomatic solitary costal exostosis: is surgical intervention required? Interact Cardiovasc Thorac Surg 2012;15:933-934  https://doi.org/10.1093/icvts/ivs374
  4. Khosla A, Parry RL. Costal osteochondroma causing pneumothorax in an adolescent: a case report and review of the literature. J Pediatr Surg 2010;45:2250-2253  https://doi.org/10.1016/j.jpedsurg.2010.06.045
  5. Bernard SA, Murphey MD, Flemming DJ, Kransdorf MJ. Improved differentiation of benign osteochondromas from secondary chondrosarcomas with standardized measurement of cartilage cap at CT and MR imaging. Radiology 2010;255:857-865  https://doi.org/10.1148/radiol.10082120
  6. Mazza D, Fabbri M, Calderaro C, Iorio C, Labianca L, Poggi C, et al. Chest pain caused by multiple exostoses of the ribs: a case report and a review of literature. World J Orthop 2017;8:436-440  https://doi.org/10.5312/wjo.v8.i5.436
  7. Kameda T, Makino T, Sakai T, Koezuka S, Otsuka H, Hata Y, et al. Asymptomatic costal exostosis with thickening in the pericardium: a case report. J Cardiothoracic Surg 2016;11:1-3  https://doi.org/10.1186/s13019-016-0401-7
  8. Alhames S, Almhanna K. Large rib osteochondroma in a child in Aleppo, Syria. J Surg Case Rep 2018;2018:rjy247 
  9. Alnassar AS. Rib osteochondroma causing cardiac compression in a pediatric patient. Int J Surg Case Rep 2021;81:105762 
  10. Gulino G, di Martino A, Papapietro N, Taglieri E, Denaro V. Rib osteochondroma in the adolescent: case report and survey of complications. J Orthop Traumatol 2004;5:128-131 https://doi.org/10.1007/PL00021724