Abstract
Toddler with isolated rib tuberculosis
Highlights
Mobile benign chest wall lumps are frequent encounters in healthy children
Clinical impression of the lump was of neoplastic origin and Ewing sarcoma family of tumours was the suspected pathological entity[2]
Histology identified the presence of epithelioid histiocytes forming granuloma with caseation, lymphocytes and Langhans giant cells that were diagnostic of tuberculosis (TB)[3]
Summary
Mobile benign chest wall lumps are frequent encounters in healthy children. A mass with deep attachments is suspicious of neoplastic origin. Case report A 20 month old healthy boy presented with an incidentally detected right lateral chest wall mass. The fairly well defined oval shaped mass of about 4cm size was attached to the underlying rib. Clinical impression of the lump was of neoplastic origin and Ewing sarcoma family of tumours was the suspected pathological entity[2]. Chest x-ray showed a single lytic lesion of the 5th rib near the costochondral junction.
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