Xanthoma of the rib in a patient with normolipidemia

Nurettin Yiyit; Zafer Küçükodacı; Rauf Görür; Turgut Işıtmangil; Fatih Hikmet Candaş; Suat Gezer

doi:10.5606/tgkdc.dergisi.2014.6157

Nurettin Yiyit¹, Zafer Küçükodacı², Rauf Görür¹, Turgut Işıtmangil¹, Fatih Hikmet Candaş¹, Suat Gezer¹

¹Departments of Thoracic Surgery, GATA Haydarpaşa Training Hospital, İstanbul, Turkey
²Departments of Pathology, GATA Haydarpaşa Training Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.6157

Xanthoma of the bone is a condition which is associated with hyperlipidemia with lipid deposits on the trunk, extremities, subcutaneous tissues, tendons and bone marrow. A 38-year-old male patient was admitted to our clinic with chest pain on the right side. Chest X-ray revealed an expansion on the right ninth rib. Thoracic computed tomography showed a lytic lesion involving the posterior arch of the right ninth rib. Serum lipid profile was within normal range. Technetium-99m methylene diphosphonate scintigraphy indicated a suspicious malignant neoplasm. A relatively hard mass in 3.5x1.5 cm size was excised together with the adjacent tissues. Postoperative histopathologic examination reported as an infiltration of xanthoma cells destroying the bone. A xanthoma of the rib was definite diagnosis. Postoperative period was uneventful with full recovery. No additional treatment was applied. The patient was healthy at 25 months of follow-up.

Keywords : Costal xanthoma; hyperlipidemia; xanthoma

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