Resection of the entire first rib for giant osteochondroma by trans manubrial approach: a case report and review of the literature

期刊论文
出版模式：

开放获取
发表日期：

2024年6月24日

查看全文

Yong Chen,
Kun Deng,
Chang Zhao,
Wei Xiao,
Zhong Tang

摘要

Background

First rib tumors are extremely rare. Its compression of neurovascularity can easily lead to severe complications such as thoracic outlet syndrome, so early surgical resection is crucial. However, there is no standardized approach to surgery.

Case presentation

A previously healthy 18-year-old Chinese male undergoes a chest computed tomography (CT) scan that incidentally reveals a raised calcified mass on the right first rib, which is most likely an osteochondroma when combined with magnetic resonance imaging (MRI). We achieved excellent results with resection and thoracic reconstruction by adopting an inverse L-shaped incision in the anterior chest and a longitudinal split of the sternum.

Conclusions

Our practice provides great reference for the surgical management of first rib tumors.