Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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 Differential Diagnosis:
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.
Images 1 and 2
Imaging Differential Diagnosis:
The sternum was biopsied.
Pathological examination of the biopsy specimen revealed findings characteristic for Hodgkin Lymphoma.
Lymphoma, Hodgkin, Anterior Mediastinal, Sternal Involvement
Follow-up and Prognosis:
The patient had an uncomplicated post-biopsy course.
Case 33, Case 34, Case 37, Case 38, Case 39, Case 41, Case 60
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