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Weekly Chest CasesArchive of Old Cases

Case No : 693 Date 2011-02-06

  • Courtesy of Byung Hak Roh / Dongsan medical center, Daegu
  • Age/Sex 48 / M
  • Chief ComplaintPalpable mass on the right infraclavicular area for 6 months, Past History: Car accident 2 years ago
  • Figure 1
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Diagnosis With Brief Discussion

Diagnosis
Rapidly growing extra-abdominal fibromatosis after trauma
Radiologic Findings
Chest PA shows old fracture of right clavicle and there is a bulging opacity and no companion shadow in right supraclavicular area.
On T1 and T2 weight axial images, about 9cm sized irregular marginated, lobulating soft tissue mass is seen in right infraclavicular area. This mass demonstrates iso SI on T1-WI and high SI on T2-WI. After Gd administration, this mass shows strong enhancement. Note prominent low SI bands on all pulse sequences.
On chest CT scan performed 18 months ago, no mass is seen in right infraclavicular area.
Excisional biopsy and debulking surgery were performed. Cut surface of the specimen reveals glistening white to pale grey, solid and coarsely trabecular pattern with focal hemorrhage and no necrosis. Microscopic finding of the mass shows elongated, slender and spindle shaped cells proliferation with collageneous background (not shown).
Brief Review
Please see the case No. 677 and 568.
References
Keywords
Chest wall, Malignant tumor,

No. of Applicants : 95

▶ Correct Answer : 54/95,  56.8%
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Hangang sacred heart hospital , Korea (South) You Mie Han
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - University of British Columbia , Canada Amr Ajlan
  • - Okayama university , Japan Takeharu Yamamoto
  • - Okayama University , Japan Akihiro Tada
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae Wook Yeh
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - KASTURBA MEDICAL COLLEGE , India NAVEEN KULKARNI
  • - CHRU lille , France manuel toledano
  • - seoul national university hospital , Korea (South) Ijin Joo
  • - Osaka University , Japan Hiromitsu Sumikawa
  • - KMC,Manipal , India satish maddukuri
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - Chonnam university hospital , Korea (South) LEE JIHYUN
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - Severance hospital , Korea (South) Saerom Hong
  • - CNUH , Korea (South) Seoin Jeong
  • - chonnam national university , Korea (South) Byung Hyun Baek
  • - Chonnam national university hospital , Korea (South) Jang-hyeon Song
  • - Chonnam National University Hospital , Korea (South) Jung hyun Kim
  • - School of Radiology www.unimi.it , Italy Gabriele D
  • - Chonnam national university hospital , Korea (South) seo yeon Park
  • - Mallinckrodt Institute of Radiology , United States Travis Henry
  • - EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) Sang Min Lee
  • - SMC , Korea (South) JIHYE MIN
  • - James Paget Hospital , U.K , United Kingdom nabil mahmood
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - CH de la C�te Basque , France Paul ARDILOUZE
  • - Radnet Teleradiology , Turkey Murat Ulusoy
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - Severance Hospital , Korea (South) Kyung-eun Kim
  • - KUMC ansan , Korea (South) kihwan kim
  • - Istanbul , Turkey Armagan Sarac
  • - NMC hospital Dubai , United Arab Emirates vickrant malhotra
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - Yonsei University College of Medicine, Shinchon Severance hospital , Korea (South) Young Joo Suh
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - St-Luc Bruxelles , Belgium Tancredi Illario
  • - Saint Malo , France jean-baptiste Noel
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - Kobe City Medical Center General Hospital , Japan Hitomi Nagano
  • - All India Institute of medical sciences , India Justin Moses
  • - Chonnam national univ. hospital , Korea (South) ChoiSEUL Gi
  • - Chonnam National University , Korea (South) se hee Jung
  • - CNUH , Korea (South) Hyedoo Jung
  • - Kasturba Medical College , India Chandan Kakkar
  • - Okayama university , Japan Mayu Uka
  • - NDMVP Nashik , India Imran Jindani
▶ Correct Answer as Differential Diagnosis : 13/95,  13.7%
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - Hopital universitaire Lausanne , Switzerland abed kourhani
  • - Catholic medical center , Korea (South) hyuna kim
  • - kobe city general hospital , Japan rintaro hashimoto
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - Chonnam National University Hwasoon Hospiral , Korea (South) You Ri Choi
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - IRSA , France jean-luc BIGOT
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - chest hospital , India k bhaskar
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
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