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Images in Paediatrics
Self limiting sternal tumors of childhood in a 7 months old infant
Tumor esternal autolimitado en una lactante de 7 meses
Gonzalo Fuente-Lucasa,
Corresponding author
gonzalo.fuente.gfl@gmail.com

Corresponding author.
, Marina Cecilia Planells-Alduvinb, Paloma Tallón-Guerolab, Pedro Alcalá-Minagorrea
a Servicio de Pediatría, Hospital General Univesitario de Alicante, Alicante, Spain
b Servicio de Radiología Pediátrica, Hospital General Universitario de Alicant, Alicante, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Self-limiting sternal tumours of childhood &#40;SELSTOC&#41; are characterised by the development of a sternal tumour unrelated to previous trauma&#44; rapidly growing and with spontaneous resolution&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of a female infant aged 7 months who presented with a tumour in the lower third of the sternum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; detected 2 months prior&#44; of solid consistency&#44; mildly tender on palpation and coughing&#46; The family reported there was no previous trauma and no associated constitutional symptoms&#46; The ultrasound scan &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; and magnetic resonance imaging &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41; showed a solid lesion &#40;31&#8239;&#215;&#8239;14&#8239;&#215;&#8239;16&#8239;mm&#41; at the level of the cartilage between the sternal body and the xiphoid process with involvement of the cartilage of the right 6th and 7th costochondral joints&#46; The examination of a biopsy specimen of the lesion showed mature fibrocartilaginous material with no signs of malignancy&#46; The patient remained in follow-up at the outpatient level&#44; with observation of the gradual regression of the tumour until it nearly disappeared and resolution of symptoms&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The detection of a solid sternal mass in childhood requires differential diagnosis including inflammatory&#44; infectious and malignant diseases&#46; If a patient presents with a rapidly growing mass and no relevant history&#44; the possibility of SELSTOC must be considered&#46; This clinical spectrum could encompass Tietze syndrome&#44; an infrequent self-limited inflammation of the costochondral junction described in the paediatric age group&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> In some cases&#44; imaging tests may be required&#44; and possibly a biopsy for the histological examination of the lesion&#46; The course is self-limiting&#44; usually with spontaneous regression&#44; and the symptoms may be managed with analgesics as needed&#46;</p></span>"
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          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Soft tissue lesion in the caudal sternum measuring approximately 31&#8239;&#215;&#8239;14&#8239;&#215;&#8239;16&#8239;mm&#46; The lesion seemed to extend to the sternal ossification centres and the cartilage of the right costochondral junctions&#44; with low Doppler flow values&#46;</p>"
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                  ]
                  "host" => array:1 [
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ISSN: 23412879
Original language: English
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