Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 20 year old male who had acute lymphocytic leukemia as a 3 year old child, who now presented with a new chest wall mass.
Clinical Physical Exam:
There was a palpable mass in the region of the sternum.
Clinical Differential Diagnosis:
Soft tissue sarcoma
An enhanced chest CT exam demonstrated a heterogeneous mass anterior to the lower sternum and peripheral pulmonary nodules.
Imaging Differential Diagnosis:
Ewing sarcoma, osteomyelitis
A biopsy of the anterior chest wall mass was performed.
Examination of the pathological specimen revealed a mid and deep dermal malignant spindle and polygonal, large cell tumor with histological and immunohistochemical features most consistent with epithelioid sarcoma.
Epithelioid Sarcoma, Chest Wall
Follow-up and Prognosis:
The patient had an uncomplicated post-biopsy course.
Case 18, Case 27, Case 46, Case 67, Case 68, Case 29
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