What are the causes of a rib lump (costal mass)?

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Differential Diagnosis for Rib Lump

  • Single Most Likely Diagnosis
    • Costochondritis: This is the most common cause of a rib lump, characterized by inflammation of the cartilage that connects the ribs to the breastbone. It is often caused by trauma, infection, or autoimmune disorders.
  • Other Likely Diagnoses
    • Fibrous dysplasia: A benign condition where normal bone tissue is replaced by fibrous tissue, leading to the formation of a lump on the rib.
    • Osteochondroma: A type of benign bone tumor that can grow on the surface of the rib, causing a lump.
    • Lipoma: A benign fatty tumor that can develop under the skin, including on the rib area.
  • Do Not Miss Diagnoses
    • Osteosarcoma: A rare but aggressive type of bone cancer that can cause a lump on the rib. Early diagnosis is crucial for treatment.
    • Ewing's sarcoma: A rare type of bone cancer that can cause a lump on the rib, often affecting children and young adults.
    • Metastatic bone disease: Cancer that has spread to the rib from another part of the body, such as breast, lung, or prostate cancer.
  • Rare Diagnoses
    • Multiple hereditary exostoses: A rare genetic disorder characterized by the growth of multiple osteochondromas, including on the ribs.
    • Langerhans cell histiocytosis: A rare disorder where abnormal immune cells accumulate in various parts of the body, including the bones, and can cause lumps on the ribs.
    • Chondrosarcoma: A rare type of cancer that develops in the cartilage, including on the ribs.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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