Skip to Main Content

We have a new app!

Take the Access library with you wherever you go—easy access to books, videos, images, podcasts, personalized features, and more.

Download the Access App here: iOS and Android

Fibrous Dysplasia

  • • Accounts for 33% of benign skeletal tumors

    • Involves ribs 50% of time

    • Not associated with hyperparathyroidism

    • Usually single tumor, associated with trauma

Chondromas, Osteochondromas, Myxochomdromas

  • • Combined equal 30-45% of benign skeletal tumors

Eosinophilic Granuloma

  • • Occurs in clavicle and scapula usually; rarely in sternum

    • Lung infiltrates are common

    • Benign form of Litterer-Siwe disease or Hand-Schuller-Christian disease

    • Cavernous hemangioma of ribs

    • -Painful mass during childhood

    • Multiple radiolucent areas or single trabeculated cyst seen on radiograph



  • • Occurs equally among males and females, between childhood and fourth decade

Symptoms and Signs

  • • Most often painless

    • Swelling and tenderness may occur with fibrous dysplasia

    • Chondromas occur along anterior costal margin

    • Lung infiltrates—consider eosinophilic granuloma

    • Fever, malaise, leukocytosis—consider eosinophilic granuloma

    • Bone pain—consider eosinophilic granuloma

Imaging Findings

  • • X-ray often diagnostic

    • Lung infiltrates—consider eosinophilic granuloma

  • • Can be difficult to distinguish from malignant lesions

  • • Physical exam to assess skin involvement

    • CT scan of thorax including bone windows

    • Bone scan

    • Incisional biopsy for large mass (> 4 cm)

    • Excisional biopsy if small and amenable

  • • Wide local excision often necessary for cure


Burt M et al. Primary bony and cartilaginous sarcomas of chest wall: results of therapy. Ann Thorac Surg. 1992;54:226.  [PubMed: 1637209]
Brodsky JT et al. Desmoid tumors of the chest wall: a locally recurrent problem. J Thorac Surg. 1992;104:900.  [PubMed: 1405687]

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.