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"resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1449 "Ancho" => 1250 "Tamanyo" => 109651 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">MRI of the lower extremity. 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The lesion seemed to extend to the sternal ossification centres and the cartilage of the right costochondral junctions, with low Doppler flow values.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Self-limiting sternal tumours of childhood (SELSTOC) are characterised by the development of a sternal tumour unrelated to previous trauma, rapidly growing and with spontaneous resolution.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</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 (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) detected 2 months prior, of solid consistency, mildly tender on palpation and coughing. The family reported there was no previous trauma and no associated constitutional symptoms. The ultrasound scan (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) and magnetic resonance imaging (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>) showed a solid lesion (31 × 14 × 16 mm) 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. The examination of a biopsy specimen of the lesion showed mature fibrocartilaginous material with no signs of malignancy. The patient remained in follow-up at the outpatient level, with observation of the gradual regression of the tumour until it nearly disappeared and resolution of symptoms.</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, infectious and malignant diseases. If a patient presents with a rapidly growing mass and no relevant history, the possibility of SELSTOC must be considered. This clinical spectrum could encompass Tietze syndrome, an infrequent self-limited inflammation of the costochondral junction described in the paediatric age group.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> In some cases, imaging tests may be required, and possibly a biopsy for the histological examination of the lesion. The course is self-limiting, usually with spontaneous regression, and the symptoms may be managed with analgesics as needed.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-04-15" "fechaAceptado" => "2020-04-27" "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1672 "Ancho" => 1515 "Tamanyo" => 114580 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tumour with a solid consistency in the lower third of the sternum (arrow).</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 941 "Ancho" => 3008 "Tamanyo" => 260786 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Soft tissue lesion in the caudal sternum measuring approximately 31 × 14 × 16 mm. The lesion seemed to extend to the sternal ossification centres and the cartilage of the right costochondral junctions, with low Doppler flow values.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 2714 "Ancho" => 2507 "Tamanyo" => 401652 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">T1-weighted MRI, pre- and post-gadolinium: sagittal and axial views showing a lesion of the soft tissues surrounding the distal sternum with uptake of contrast.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Self-limiting sternal tumors of childhood (SELSTOC)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.L. Winkel" 1 => "M.H. Lequin" 2 => "J.R. Bruyn" 3 => "C.P. van de Ven" 4 => "R.R. Krijger" 5 => "R. Pieters" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/pbc.22454" "Revista" => array:6 [ "tituloSerie" => "Pediatr Blood Cancer." "fecha" => "2010" "volumen" => "55" "paginaInicial" => "81" "paginaFinal" => "84" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20213849" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tumores esternales autolimitados en edad pediátrica: a propósito de dos casos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Adri" 1 => "T. Kreindel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rx.2018.07.006" "Revista" => array:7 [ "tituloSerie" => "Radiología." 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"fecha" => "1997" "volumen" => "131" "numero" => "5" "paginaInicial" => "774" "paginaFinal" => "775" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9403667" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000010000000004/v1_202404250845/S2341287924000875/v1_202404250845/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000010000000004/v1_202404250845/S2341287924000875/v1_202404250845/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924000875?idApp=UINPBA00005H" ]
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