Open AccessOsteochondroma of scapula complicated long-term cough in an adult female
Author(s) -
Kun-Chi Wu,
Chung-Hua Chu,
Dah-Ching Ding
Publication year - 2015
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.163828
Subject(s) - osteochondroma , medicine , scapula , physical examination , lesion , atelectasis , differential diagnosis , deformity , surgery , lung , radiology , pathology
Cough caused by scapular osteochondroma has never been reported. This study reports a case of long-term coughing caused by osteochondroma growing over the right scapula. A 44-year-old Asian female presented complaining a persistent cough for 2 months. Physical examination revealed no specific abnormality and clear and symmetrical breathing. A lesion revealed on X-rays, and computer tomography was diagnosed as an osteochondroma of the medial border of the scapula and the tumor caused the rib cage deformity. Following a preoperative examination, the patient underwent open surgery for lesion removal. Histological examination confirmed the clinical diagnosis of osteochondroma. Clinical examination 3 months later demonstrated a healed wound without cough and no recurrence was noted. Cough caused by the mass effect of osteochondroma is rare. The pathophysiology of nonproductive cough might cause by enlarging tumor in the lung field and caused a small part of alveoli atelectasis. Despite its rarity, osteochondroma should be considered in the differential diagnosis of any adult presenting with chronic coughing