A Case of Anterior Mediastinal Mass treated as Bronchial Asthma.

  • Dr. Renuka Jadhav Professor, Department of Pediatrics, Dr D Y Patil Medical College, Pune, Maharastra, India
  • Dr. Pooja Motwani Resident, Department of pediatrics, Dr D Y Patil Medical College, Pune, Maharastra, India
  • Dr. Sharad Agarkhedkar Head of the Department, Department of pediatrics, Dr D Y Patil Medical College, Pune, Maharastra, India
Keywords: Anterior Mediastinal Mass, Recurrent wheezing, Thymic Lymphoma

Abstract

Anterior Mediastinal Masses (AMM) can range in presentation from an asymptomatic incidental finding to significant cardiorespiratory compromise. Symptoms do not always correlate to the degree of compression. Patients with AMM are at high risk for hemodynamic instability and cardiovascular arrest with induction of anesthesia. This report describes a child with a large AMM who presented with classic symptoms of recurrent wheezing and was inadequately evaluated. It is imperative, especially in these unexpected presentations, to have a high index of suspicion.

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References

Thacker PG, Mahani MG, Heider A, Lee EY. Imaging Evaluation of Mediastinal Masses in Children and Adults: Practical Diagnostic Approach Based on A New Classification System. J Thorac Imaging. 2015 Jul;30(4):247-67. doi: 10.1097/RTI.0000000000000161.

McCarville MB. Malignant pulmonary and mediastinal tumors in children: differential diagnoses. Cancer Imaging. 2010 Oct 4;10 Spec no A(1A):S35-41. doi: 10.1102/1470-7330.2010.9015.

Takeda S, Miyoshi S, Akashi A, Ohta M, Minami M, Okumura M. et al. Clinical spectrum of primary mediastinal tumors: a comparison of adult and pediatric populations at a single Japanese institution. J Surg Oncol. 2003 May;83(1):24-30. doi: 10.1002/jso.10231.

Ocal T, Türken A, Ciftçi AO, Senocak ME, Tanyel FC, Büyükpamukçu N. Thymic enlargement in childhood. Turk J Pediatr. 2000 Oct-Dec;42(4):298-303.

Ranganath SH, Lee EY, Restrepo R, Eisenberg RL. Mediastinal masses in children. AJR Am J Roentgenol. 2012 Mar;198(3):W197-216. doi: 10.2214/AJR.11.7027.

Yaris N, Nas Y, Cobanoglu U, Yavuz MN. Thymic carcinoma in children. Pediatr Blood Cancer. 2006 Aug;47(2):224-7. doi: 10.1002/pbc.20468.

Stachowicz-Stencel T, Orbach D, Brecht I, Schneider D, Bien E, Synakiewicz A. et al. Thymoma and thymic carcinoma in children and adolescents: a report from the European Cooperative Study Group for Pediatric Rare Tumors (EXPeRT). Eur J Cancer. 2015 Nov;51(16):2444-52. doi: 10.1016/j.ejca.2015.06.121.

Saha S, Suhani S, Basak A, Agarwal N, Dewan P. Pediatric thymoma with a difference: report of a case and review of literature. J Surg Tech Case Rep. 2014 Jul-Dec;6(2):64-6. doi: 10.4103/2006-8808.147263.

Manchanda S, Bhalla AS, Jana M, Gupta AK. Imaging of the pediatric thymus: Clinicoradiologic approach. World J Clin Pediatr. 2017 Feb 8;6(1):10-23. doi: 10.5409/wjcp.v6.i1.10

Mitchell, a. Graeme, and josef warkany. "The problem of the thymus in children." Journal of the American Medical Association 112.4 (1939): 283-285.

Nasseri F, Eftekhari F. Clinical and radiologic review of the normal and abnormal thymus: pearls and pitfalls. Radiographics. 2010 Mar;30(2):413-28. doi: 10.1148/rg.302095131.

Prosser JD, Myer CM 3rd. Branchial cleft anomalies and thymic cysts. Otolaryngol Clin North Am. 2015 Feb;48(1):1-14. doi: 10.1016/j.otc.2014.09.002.

Sturm JJ, Dedhia K, Chi DH. Diagnosis and Management of Cervical Thymic Cysts in Children. Cureus. 2017 Jan 11;9(1):e973. doi: 10.7759/cureus.973.

Goldstein AJ, Oliva I, Honarpisheh H, Rubinowitz A. A tour of the thymus: a review of thymic lesions with radiologic and pathologic correlation. Can Assoc Radiol J. 2015 Feb;66(1):5-15. doi: 10.1016/j.carj.2013.09.003.

Honda S, Morikawa T, Sasaki F, Okada T, Naito S, Itoh T.et al. Cystic thymoma in a child: a rare case and review of the literature. Pediatr Surg Int. 2007 Oct;23(10):1015-7. doi: 10.1007/s00383-007-1988-5.

Sekihara K, Okuma Y, Kawamoto H, Hosomi Y. Clinical outcome of thymic lymphoepithelioma-like carcinoma: Case report of a 14-year-old male. Oncol Lett. 2014 Nov;8(5):2183-2186. doi: 10.3892/ol.2014.2475.

Ferrari A, Bisogno G, De Salvo GL, Indolfi P, Perilongo G, Cecchetto G; Italian Study on Rare Tumours in Paediatric Age (TREP); Associazione Italiana Ematologia Oncologia Pediatrica (AIEOP). The challenge of very rare tumours in childhood: the Italian TREP project. Eur J Cancer. 2007 Mar;43(4):654-9. doi: 10.1016/j.ejca.2006.08.028.

Singh Ospina N, Thompson GB, C Nichols F 3rd, Cassivi SD, Young WF Jr. Thymic and Bronchial Carcinoid Tumors in Multiple Endocrine Neoplasia Type 1: The Mayo Clinic Experience from 1977 to 2013. Horm Cancer. 2015 Dec;6(5-6):247-53. doi: 10.1007/s12672-015-0228-z.

How to Cite
Dr. Renuka Jadhav, Dr. Pooja Motwani, & Dr. Sharad Agarkhedkar. (2021). A Case of Anterior Mediastinal Mass treated as Bronchial Asthma. Pediatric Review: International Journal of Pediatric Research, 8(4), 207-211. Retrieved from https://pediatrics.medresearch.in/index.php/ijpr/article/view/680
Section
Case Report