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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 40 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 40

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Twelve year old female with a chest mass

Clinical History:
The patient was a 12 year old female with a slowly enlarging and tender chest mass for 3 months. The patient also reported decreased appetite, fatigue, malaise, and a 30 pound weight loss.

Clinical Physical Exam:
Palpable, tender chest wall mass just to the left of the sternum.

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Lymphoma

Imaging Findings:
A chest film showed a large anterior mediastinal mass. A chest CT exam better defined the mass to be extensive and solid and eroding into the sternum.

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Imaging Differential Diagnosis:
Lymphoma, leukemia

Operative Findings:
The sternum was biopsied.

Pathological Findings:
Pathological examination of the biopsy specimen revealed findings characteristic for Hodgkin Lymphoma.

Final Diagnosis:
Lymphoma, Hodgkin, Anterior Mediastinal, Sternal Involvement

Follow-up and Prognosis:
The patient had an uncomplicated post-biopsy course.

Similar Cases:
Case 33, Case 34, Case 37, Case 38, Case 39, Case 41, Case 60

References:

Title Page


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