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We report an unusual case of a bone tumor\u2010like CW mass lesion with pathological rib fractures observed 13\u2009years after SBRT for peripheral lung cancer. Despite the initial suspicion of radiation\u2010induced sarcoma, a subsequent incisional biopsy revealed no evidence of malignancy, and a definitive diagnosis of osteonecrosis was made. Thus, long\u2010term observation of over 10\u2009years is required to identify late chronic complications following SBRT.<\/jats:p>","DOI":"10.1111\/1759-7714.15419","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T06:40:00Z","timestamp":1723099200000},"page":"1912-1916","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A bone tumor\u2010like chest wall mass lesion with pathological rib fractures observed 13\u2009years after lung stereotactic body radiotherapy: A case report"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2694-1829","authenticated-orcid":false,"given":"Masaki","family":"Matsuda","sequence":"first","affiliation":[{"name":"Department of Radiology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiro","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Komiyama","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kojiro","family":"Onohara","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8636-4045","authenticated-orcid":false,"given":"Masahide","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hikaru","family":"Nemoto","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mizuki","family":"Kubota","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Onishi","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00401-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2009.07.1751"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2008.08.072"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prro.2019.01.012"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3747\/co.27.5959"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19940515)73:10<2653::AID-CNCR2820731030>3.0.CO;2-G"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2015.171"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2009\/764379"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2021200171"},{"key":"e_1_2_8_11_1","unstructured":"See NCT02984761 athttps:\/\/ClinicalTrials.gov\/."},{"key":"e_1_2_8_12_1","unstructured":"National Comprehensive Cancer Network.Non\u2010Small Cell Lung Cancer. 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