Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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.
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:
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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