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