- Home
- Articles
-
10.5606/tgkdc.dergisi.2014.6157
Xanthoma of the rib in a patient with normolipidemia
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
Viewed : 8842
Downloaded : 2112