AI Article Synopsis

  • First rib tumors are rare and can cause serious issues like thoracic outlet syndrome, making early surgery important, though there’s no standard surgical method.
  • An 18-year-old male was found to have a calcified mass on his right first rib, likely an osteochondroma, identified through CT and MRI scans.
  • Successful surgical removal and reconstruction were performed using a unique incision technique, which can serve as a valuable reference for similar cases in the future.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11194941PMC
http://dx.doi.org/10.1186/s13019-024-02902-9DOI Listing

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