Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About Us | FAQ | Reviews | Search

Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com


Virtual Pediatric Hospital: Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology: Case 31

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 31

Michael P. D'Alessandro, M.D.,
Steven J. Fishman, M.D.,
Deborah E. Schofield, M.D.

Peer Review Status: Internally Peer Reviewed
Chief Complaint:
Eleven year old male with a large soft tissue mass involving his right arm and chest.

Clinical History:
The patient was an 11 year old male with a long-standing history of plexiform neurofibromatosis involving his right arm and chest. His past surgical history was remarkable for having multiple resections of benign neurofibromas in the past.

Clinical Physical Exam:
Remarkable for an extensive soft tissue mass involving his right arm and chest.

icon gifImage 1

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Neurofibromatosis

Imaging Findings:
Spinal films and a computed tomography exam demonstrated the extent of the right thoracic mass and its bony involvement.

icon gif icon gif Images 2 and 3

icon gifImage 4

Imaging Differential Diagnosis:
Probably malignant degeneration of the plexiform neurofibroma due to its rapid increase in size.

Operative Findings:
The patient underwent elective resection of the large right posterior mediastinal mass. During the thoracotomy, the large mass was seen to originate in the apex of the right chest.

icon gifImage 5

Pathological Findings:
Examination of the surgical specimen revealed characteristic findings of malignant schwannoma within a plexiform neurofibroma.

icon gifImage 6

Final Diagnosis:
Neurofibroma of Thorax (Malignant)

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

Similar Cases:
Case 27, Case 39

References:

Title Page


Home | About Us | FAQ | Reviews | Search

Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com


Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2024 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/