Successful surgical management of periosteal chondroma of the left second rib: a case report

  • Avishek Samaddar
  • Anand Kumar MishraEmail author
  • Madhusudan Katti
  • Averee Gangopadhayay
Case report


We present a case of successfully resected periosteal chondroma of the left second rib in view of extremely rare occurrence of such cases and the success achieved in its management. A 12-year-old female child presented to our hospital with a swelling in the upper anterolateral aspect of the left chest wall. On chest X-ray and contrast-enhanced computed tomography (CECT), it was diagnosed to be a case of osteochondroma of the second rib. The tumor was approached through a left posterolateral thoracotomy and parts of the first and second ribs were excised along with the tumor. Patient is now on outpatient follow-up and hemodynamically stable with no recurrence of symptoms. The histopathology revealed periosteal chondroma of the second rib with all margins of the resected mass being free of tumor suggesting complete excision. Patient is now on outpatient follow-up and hemodynamically stable with no recurrence of symptoms. Postoperative results were very satisfactory not only in terms of oncological clearance but also from the functional and cosmetic point of view. We believe our case is going to add to the very limited number of such cases available in literature.


Periosteal chondroma Second rib Posterolateral approach 


Compliance with ethical standards

Conflict of interest

The authors declare that there are no conflicts of interest.

Informed consent

Informed consent was taken from the parents of the child for the procedures performed as well as prior to publication of the case report.

Ethical approval

All the procedures performed in this case were in accordance to the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declareation and its later amendments or comparable ethical standards.


  1. 1.
    Zhenjiang L, Wei Y, Lijun Z, Qiwei Li. Periosteal chondroma of the proximal tibia: report of three cases. Int J Clin Exp Med. 2016;9:9908–9916.Google Scholar
  2. 2.
    Kirchner SG, Pavlov H, Heller RM, Kaye JJ. Periosteal chondromas of the anterior tibial tubercle: two cases. AJR Am J Roentgenol. 1978;131:1088–1089.Google Scholar
  3. 3.
    Nojima T, Unni KK, McLeod RA, Pritchard DJ. Periosteal chondroma and periosteal chondrosarcoma. Am J Surg Pathol. 1985;9:666–677.Google Scholar
  4. 4.
    Miller SF. Imaging features of juxtacortical chondroma in children. Pediatr Radiol. 2014;44:56–63.Google Scholar
  5. 5.
    Karabakhtsian R, Heller D, Hameed M, Bethel C. Periosteal chondroma of the rib—report of a case and literature review. J Pediatr Surg.2005;40:1505–7.Google Scholar
  6. 6.
    Dartevelle PG, Chapelier AR, Macchiarini P, et al. Anterior transcervical-thoracic approach for radical resection of lung tumors invading the thoracic inlet. J Thorac Cardiovasc Surg. 1993;105:1025–1034.Google Scholar
  7. 7.
    Grunenwald D, Mazel C, Girard P, Berthiot G, Dromer C, Baldeyrou P. Total vertebrectomy for en bloc resection of lung cancer invading the spine. Ann Thorac Surg. 1996;61:723–726.Google Scholar
  8. 8.
    Gandhi S, Walsh GL, Komaki R, et al. A multidisciplinary surgical approach to superior sulcus tumors with vertebral invasion. Ann Thorac Surg. 1999;68:1778–1784.Google Scholar

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Avishek Samaddar
    • 1
  • Anand Kumar Mishra
    • 1
    Email author
  • Madhusudan Katti
    • 1
  • Averee Gangopadhayay
    • 2
  1. 1.Department of CTVSPGIMERChandigarhIndia
  2. 2.Department of RadiologyMedical College and HospitalKolkataIndia

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