A Rare Case of Chest Wall Osteolipoma Presenting as a Paravertebral Mass
- Authors
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Ayman Ben Ayed
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Mouna Nasri
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Ahmed Ben Ayed
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Hèla Ben Jmaà
department of cardiovascular and thoracic surgery
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Mohamed Rebei
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Hafedh Daly
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Rim Karray
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Zied Chaari
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Abdessalem Hentati
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- Keywords:
- Osteolipoma ; Lipoma ; Chest Wall ; Rare Diseases
- Abstract
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Osteo-lipoma is an extremely rare hisotologic variant of conventional lipoma. While lipomas are the most common soft tissue tumors in adults, the occurrence of an osteo-lipoma in chest wall in exceedengly uncommon, and presents unique diagnostic challenges.
We report the case of a 62-year-old male paient, who prsented with progressively enlarging right dorsal para-vertebral mass over a three-year period. Computed tomography and magnetic resonance imaging identified a well-circumscribed, heteregneous fatty mass containing significant ossified components, located deep to the para-spinal muscles without rib or vrtebral invasion. The patient underwent a complete en-bloc surgical excision. Histo-pathological examination confirmed the diagnosis of a benign osteo-lipoma. After a 12-month follow-up, no recurrence or complications were observed.
Although rare, a thorough radiological and pathological correlation is essential to differentiate this benign entity from more aggressive ossifying neoplasms, such as liposarcoma or myositis ossificans. Surgical excision remains the treatment of choice.
- References
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- Published
- 30-09-2026
- Section
- Case Reports
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