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 an 8 year old male who developed right scapular and
right chest pain.
Clinical Physical Exam:
Unremarkable
Clinical Labs:
Non-contributory
Clinical Differential Diagnosis:
Musculoskeletal injury
Imaging Findings:
Chest films showed a large right sided pleural based mass that was
confirmed on a chest CT exam.
Imaging Differential Diagnosis:
Askin Tumor
Operative Findings:
The patient was taken electively to the operating room and the mass,
three ribs, and a small amount of lung were resected.
Pathological Findings:
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.
Final Diagnosis:
Ewing Sarcoma, Chest Wall (Askin Tumor)
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
Similar Cases:
Case 15,
Case 18,
Case 27,
Case 67,
Case 68,
Case 69
References:
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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