ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
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
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