| CASE REPORT |
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| Year : 2015 | Volume
: 35
| Issue : 4 | Page : 176-178 |
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Osteochondroma of scapula complicated long-term cough in an adult female
Kun-Chi Wu1, Chung-Hua Chu1, Dah-Ching Ding2
1 Department of Orthopedics, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwan
2 Department of Orthopedics Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital; Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan
Correspondence Address:
Dah-Ching Ding
Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien
Taiwan
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1011-4564.163828
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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. |
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