PDF(Pubmed)
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.
METHODS: 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.
METHODS: 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.
摘要：
背景：第一肋骨肿瘤极为罕见。其压迫神经血管容易导致严重的并发症，如胸廓出口综合征，所以早期手术切除至关重要。然而,没有标准化的手术方法。
方法：一名先前健康的18岁中国男性接受了胸部计算机断层扫描（CT）扫描，该扫描偶然发现了右侧第一肋骨上的钙化块，与磁共振成像（MRI）结合时，最有可能是骨软骨瘤。通过在前胸部采用倒L形切口和胸骨的纵向分裂，我们在切除和胸部重建方面取得了出色的效果。
结论：我们的实践为第一肋骨肿瘤的外科治疗提供了很好的参考。
方法：一名先前健康的18岁中国男性接受了胸部计算机断层扫描（CT）扫描，该扫描偶然发现了右侧第一肋骨上的钙化块，与磁共振成像（MRI）结合时，最有可能是骨软骨瘤。通过在前胸部采用倒L形切口和胸骨的纵向分裂，我们在切除和胸部重建方面取得了出色的效果。
结论：我们的实践为第一肋骨肿瘤的外科治疗提供了很好的参考。
