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Images in Cardiothoracic Medicine and Surgery

Giant cavernous hemangioma of rib: A rare presentation

Asian Cardiovascular & Thoracic Annals 0(0) 1–2 ß The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492315589028 aan.sagepub.com

Nitin D Thakare, Sayed Sajid and Shweta P Shende

Figure 3. Intraoperative photograph showing the mass causing compression of the underlying lung (arrow). Figure 1. Magnetic resonance imaging showing a hemangioma (arrow) measuring 10  7 cm, along the inner surface of the right 3rd rib with bone destruction.

Figure 4. The excised specimen with attached rib.

Department of Cardiovascular and Thoracic Surgery, BYL Nair Hospital & TN Medical College, Mumbai, India

Figure 2. Intraoperative photograph showing the tumor (arrow) attached to the rib.

Corresponding author: Nitin D Thakare, Department of Cardiovascular and Thoracic Surgery, BYL Nair Hospital & TN Medical College, Dr. AL Nair Road, Mumbai 400008, India. Email: [email protected]

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Asian Cardiovascular & Thoracic Annals 0(0)

Hemangiomas account for approximately 1% of all body tumors and commonly involve the skull and vertebrae; cavernous hemangioma of the rib is extremely rare and it should be considered in the differential diagnosis of rib tumors, especially in asymptomatic patients. We present a case of giant cavernous hemangioma of the right 3rd rib. Chest radiography showed a rounded opacity in the right apical zone of the hemithorax. Magnetic resonance imaging revealed a hemangioma of 10  7 cm, along the inner surface of the right 3rd rib (Figure 1). The patient underwent a posterolateral thoracotomy with partial resection of the 3rd rib. Intraoperatively, the mass was seen attached

to the 3rd rib, causing compression of the right upper lobe of the lung (Figure 2, Figure 3). The excised specimen, measuring approximately 8  9 cm, was sent for histopathological examination which confirmed the diagnosis of cavernous hemangioma (Figure 4). Conflict of interest statement None declared.

Funding This research received no specific grant from any funding agency in the public, commerical, or not-for-profit sectors.

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Giant cavernous hemangioma of rib: A rare presentation.

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