EURORAD ESR

Case 14842

Self-Limiting Sternal Tumor of the Childhood - An important diagnosis not to be missed

Author(s)
Leitão, Patrícia1; Carvalho, André1; Pinheiro, Rúben2; Guerra, Conceição1.

1. Radiology department of Centro Hospitalar de São João, Portugal.
2. Pediatric Surgery department of Hospital de Braga, Portugal.

Email:patleitao20@gmail.com
 
Patient
male, 22 month(s)
 
 
  • Figure 1
    Photography of thoracic wall

    Photograph of the anterior thoracic shows a small bump in the pre-sternal area with mild ruborization.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Lateral thoracic x-ray

    The lateral thoracic x-ray showed a discrete soft tissue densification in the sternal area with no bone involvement.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Ultrasound study

    Ultrasound image with high frequency probe. Non-circunscribed, hypoechoic lesion with dumbbell apparearance extending from soft tissues of the sternum to the joint of the body and xiphoid process of sternum

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Ultrasound study two weeks later

    US study two weeks later. The lesion is stable in terms of dimensions and morphology. Note the regularity of the joint and bone contours, assuring the lesion has no characteristics of malignancy or osteomyelitis.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    Photography of the patient 2 months after conservative treatment

    Photography after 2 months of conservative treatment. Note that there is some improvement of the mass with decrease in size and disappearance of the redness of the skin.

     
    Area of Interest: Musculoskeletal joint; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Photograph of the anterior thoracic shows a small bump in the pre-sternal area with mild ruborization.
 
The lateral thoracic x-ray showed a discrete soft tissue densification in the sternal area with no bone involvement.
 
Ultrasound image with high frequency probe. Non-circunscribed, hypoechoic lesion with dumbbell apparearance extending from soft tissues of the sternum to the joint of the body and xiphoid process of sternum
 
US study two weeks later. The lesion is stable in terms of dimensions and morphology. Note the regularity of the joint and bone contours, assuring the lesion has no characteristics of malignancy or osteomyelitis.
 
Photography after 2 months of conservative treatment. Note that there is some improvement of the mass with decrease in size and disappearance of the redness of the skin.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version