Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was an 8 year old male who developed right scapular and right chest pain.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Chest films showed a large right sided pleural based mass that was confirmed on a chest CT exam.
Images 1 and 2
Imaging Differential Diagnosis:
The patient was taken electively to the operating room and the mass, three ribs, and a small amount of lung were resected.
Pathological examination of the surgical specimen showed a malignant small round cell tumor involving one rib, the adjacent soft tissues, the parietal pleura, and the lung. The findings were characteristic for a Ewing Sarcoma.
Ewing Sarcoma, Chest Wall (Askin Tumor)
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Case 15, Case 18, Case 27, Case 67, Case 68, Case 69
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