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Órgano Oficial del Instituto Nacional de Pediatría
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2024, Number 3

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Acta Pediatr Mex 2024; 45 (3)

Point of care Ultrasound in skin lesions, an atypical case report

González AN, Gallinas VF, Herranz AM, Antona G, Ahmed ML, Ansó MM
Full text How to cite this article

Language: English
References: 8
Page: 218-222
PDF size: 224.60 Kb.


Key words:

POCUS, SELSTOC, Childhood.

ABSTRACT

Introduction: The use of ultrasound for soft tissue injuries in pediatric emergency medicine is increasing progressively. Ultrasound can be an invaluable tool for the description of skin disorders, evaluation of the need for abscess drainage and discrimination between invasive and non-invasive lesions.
Present case : Patient with an unusual finding in soft-tissue ultrasound that led to additional complementary studies.
Conclusions: Self-limiting sternal tumors of childhood (SELSTOC) usually present as an area of rapid soft-tissue growth and inflammation located in the pre-sternal region. The nature of this condition means that the lesion is self-resolved before any association with previous trauma or infection can be established.
Therefore, we must be aware of this entity and the different diagnostic and therapeutic approaches because recognizing SELSTOC typical features can avoid unnecessary diagnostic tests and/or disproportionate therapeutic strategies, unless we find atypical. features in the ultrasound, as was our case.


REFERENCES

  1. Alonso Sánchez J, Gallego Herrero C, García Prieto J, etal. Self-limiting sternal tumors of childhood (SELSTOC):A diagnostic challenge. Radiologia (Engl Ed). 2021 Sep-Oct;63(5):400-405.

  2. DiDomenico P, Middleton W. Sonographic evaluation ofpalpable superficial masses. Radiol Clin North Am. 2014Nov;52(6):1295-305.

  3. Wagner JM, Rebik K, Spicer PJ. Ultrasound of Soft TissueMasses and Fluid Collections. Radiol Clin North Am. 2019May;57(3):657-669.

  4. Te Winkel ML, Lequin MH, de Bruyn JR, et al. Self-limitingsternal tumors of childhood (SELSTOC). Pediatr BloodCancer. 2010 Jul 15;55(1):81-4.

  5. Arnés Parra ML, Vereas Martínez A, Merino Bonilla JA,Diego Gayte P, Biatricia Miha I, Guerra Pérez H. Tumor esternalautolimitado de la infancia (SELSTOC) con hallazgosatípicos en ecografía y manejo conservador. Rev PediatrAten Primaria. 2022;24:391-5.

  6. Ketharanathan N, te Winkel ML, Lequin MH et al. Eenzuigeling met een sternale zwelling [An infant with sternalswelling]. Ned Tijdschr Geneeskd. 2012;156(1):A3981.

  7. Adri D, Kreindel T. Self limiting sternal tumors of childhood:two case reports. Radiologia (Engl Ed). 2019 Mar-Apr;61(2):167-170.

  8. Westerveld G, Laven RJA. Een dreumes met een sternalezwelling [A child with a sternal tumour]. Ned TijdschrGeneeskd. 2021 Mar 4;165:D5571.




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C?MO CITAR (Vancouver)

Acta Pediatr Mex. 2024;45