대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis With Brief Discussion

Courtesy

Yonsei University Sinchon Severance Hospital

Discussion

Rib Lesions
- Rib tumor
Primary
Malignancy: chondrosarcoma, plasmacytoma, lymphoma, osteosarcoma, MFH
Benign: osteochondroma, enchondroma, osteoblastoma, osteoid osteoma, chondroblastoma, hemangioma
Metastasis, direct invasion
- Infectious disease
Osteomyelitis & abscess; fungal, tuberculosis, actinomycosis, other bacteria
- Others
Fibrous dysplasia, Langerhans cell histiocytosis, Paget disease, renal osteodystrophy, hemoglobinopathies-
- Rib lesion 25/1034 (Chest CT readings for 3 months in Severance hospital)
Lung cancer ?9 (pancoast tumor 3)
Metastasis ?9 (breast ca 4, HCC 2, RCC 1, ovary cancer 1, unknown 1)
Myeloma ?4
Lymphoma ?2
Benign ?1 (osteochondroma)

Skeletal Involvement of Hodgkin's Disease
- 10-25% of cases of HD
- infrequent at the time of clinical presentation
- more common in adult>child
- Pain is the most common symptom
- hematogenous or direct spread from LN
- Prognosis : depends on histologic type
- common site: spine, pelvis, rib, femur, sternum, scapula
- multiple lesion (2/3) > solitary form
- Osteolytic (75%), Osteosclerotic (15%), mixed (10%)
* diffuse sclerosis of vertebral body ( ivory vertebra ) : similar skeletal metastasis, Paget뭩 disease

Keywords

Mediastinum, Rib, Lymphproliferative disorder, Lymphoma,