What a lies beneath a case of a 5 months old infant with anterior mediastinal mass / Diana Marie D. Regio.

Contributor(s):

Regio, Diana Marie D., MD [author]

Language: english Publication details: Fairview, Quezon City: Department of Child Health, FEU-NRMF, 2013.Description: tables; (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

LOC classification:

CH 2013 0001

Summary: Abstract: This is a case of C.E, a 5 month old male who initially presented with respiratory infection and was subsequently to have a large anterior mediastinal mass seen in Chest CT scan and was later identified as Cystic lymphangioma in a histologic report after surgical thoracotomy. Surgical intrvention represents the treatment of choice, thus exploratory is indicated once the lesion is found to establish a tissue diagnosis and to extirpate the mass. The patient underwent thoracotomy with incomplete resection of the anterior mediastinal mass due to adherence of the mass to nearby vessels and tolerated the procedure well. Unfortunately after few weeks post-operation, repeat chest xray was done and showed recurrence of the said mass. Patient then underwent intralesionalbleomycin injection. This paper aims to discuss the different etiologies of anterior mediastinal mass and their treatment options for infant patients. Mediastinal masses are relatively rare and encompass a wide variety of diseases from the purely benign to the extremely malignant. Mediastinal Mass is rare in children, and usually 50% of pediatric mediastinal masses are malignant, therefore needs to be investigated thoroughly. It also have a diverse origins and etiologies. In order to end up in a correct diagnosis, logical and practical strategy is needed by the help of diagnostic imaging and laboratory test to be done in such cases, which can help in planning for further invasive diagnostic procedure as well as therapeutic decisions for proper management.

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Item type	Current library	Call number	Status	Date due	Barcode
Room Use	Far Eastern University - Nicanor Reyes Medical Foundation Research	CH 2013 0001 (Browse shelf(Opens below))	Available		R000383

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Previous	CH 2012 0012 Determination of most appropriate age of newborns for otoacoustic emission (OAE) test /	CH 2012 0013 Prophylactic use of ibuprofen vs. paracetamol in the prevention of fever following DTPw booster dose vaccination : a randomized controlled study /	CH 2012 0014 A Cohort on the association between teenage pregnancy and early onset sepsis neonatorum at FEU-NRMF Medical Center, Year 2000-2009 /	CH 2013 0001 What a lies beneath a case of a 5 months old infant with anterior mediastinal mass /	CH 2013 0002 A Cross-sectional study on the prevalence and risk factors of hypertension among adolescents at FEU-NRMF from January to July 2013 /	CH 2013 0002 A Cross-sectional study on the prevalence and risk factors of hypertension among adolescents at FEU-NRMF from January to July 2013 /	CH 2013 0003 Factors associated with picky eating among children 3 - 5 years old seen at FEU-NRMF Medical Center /	Next

Includes appendices and bibliographical references.

Abstract: This is a case of C.E, a 5 month old male who initially presented with respiratory infection and was subsequently to have a large anterior mediastinal mass seen in Chest CT scan and was later identified as Cystic lymphangioma in a histologic report after surgical thoracotomy. Surgical intrvention represents the treatment of choice, thus exploratory is indicated once the lesion is found to establish a tissue diagnosis and to extirpate the mass. The patient underwent thoracotomy with incomplete resection of the anterior mediastinal mass due to adherence of the mass to nearby vessels and tolerated the procedure well. Unfortunately after few weeks post-operation, repeat chest xray was done and showed recurrence of the said mass. Patient then underwent intralesionalbleomycin injection. This paper aims to discuss the different etiologies of anterior mediastinal mass and their treatment options for infant patients. Mediastinal masses are relatively rare and encompass a wide variety of diseases from the purely benign to the extremely malignant. Mediastinal Mass is rare in children, and usually 50% of pediatric mediastinal masses are malignant, therefore needs to be investigated thoroughly. It also have a diverse origins and etiologies. In order to end up in a correct diagnosis, logical and practical strategy is needed by the help of diagnostic imaging and laboratory test to be done in such cases, which can help in planning for further invasive diagnostic procedure as well as therapeutic decisions for proper management.

Research - Department of Child Health

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