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Eur Respir J 1995; 8: 1028-1029
Copyright © ERS Journals Ltd 1995


Case Studies

Giant bilateral fibrous dysplasia of first ribs: compression of mediastinum and thoracic outlet

V Thomas de Montpreville, E Dulmet, R Ponlot, and P Dartevelle

A 43 year old woman presented with two large bilateral tumours of the first ribs that compressed the right subclavian vessels, trachea and oesophagus and led to right arm oedema, severe dyspnoea and dysphagia. The resected tumours showed typical histological features of fibrous dysplasia without malignant transformation. The right tumour weighed 1.5 kg and measured 17 x 13 x 10 cm. This report demonstrates that major surgery is still possible for resection of such exceptional giant compressive lesions, since fibrous dysplasia is a benign and non-infiltrative tumour.


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G. Gutierrez and M. D. Suskin
Polyostotic Fibrous Dysplasia of the Ribs Causing Severe Restrictive Lung Disease with Acute on Chronic Respiratory Failure
Chest Meeting Abstracts, October 1, 2004; 126(4): 937S - 938S.
[Abstract] [Full Text] [PDF]




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