Chest wall mesenchymal hamartoma: a case report
Keywords:
hamartoma, thoracic wall, ribs, torax, infant
Abstract
Chest wall mesenchymal hamartoma is an extremely rare benign tumor. Approximately 80 cases have been reported in the literature. Most tumors are manifested at birth with a painless palpable mass of the chest wall, usually unilateral. Respiratory symptoms result from extrinsic compression of the pulmonary parenchyma, and the severity of the symptoms will depend on the size and location of the lesion. Imaging features are characteristic, but definitive diagnosis is histological. Herein, a case is described of a four month old infant with diagnosis of chest wall mesenchymal hamartoma, manifested at birth. Different treatment options are described, including expectations from tumor management, the possibility of spontaneous regression, and the morbidity associated with the surgical option.
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References
1. Bertocchini A, Falappa P, Accinni A. Radiofrequency thermoablation in chest wall mesenchymal hamartoma of an infant. Ann Thorac Surg. 2007;84:2091-3.
2. Odell JM, Benjamin DR. Mesenchymal hamartoma of chest wall in infancy: natural history of two cases. Pediatr Pathol.1986;5:135-46.
3. Shamberger RC, Grier HE, Weinstein HJ, Atayde AR, Tarbell NJ. Chest wall tumors in infancy and childhood. Cancer. 1989;63:774-85.
4. Groom KR, Murphey MD, Howard LM, Lonergan GJ, Rosado-de- Christenson ML, Torop AH. Mesenchymal hamartoma of the chest wall: Radiologic manifestations with emphasis on cross-sectional imaging and histopathologic comparison. Radiology. 2002;222:205-11.
5. Nogues A, Gervas C, Oñativia A, Collado V. Benign costal mesenchymal hamartoma in a neonate. Pediatr Radiol. 2003;33:221-2.
6. Lisle DA, Ault DJ, Earwaker JW. Mesenchymal hamartoma of the chest wall in infants: Report of three cases and literature review. Australas Radiol. 2003;47:78-82.
7. Andiran F, Ciftci AO, Senocak ME, Akcören Z, Gögüs S. Chest wall hamartoma: An alarming chest lesion with a benign course. J Pediatr Surg. 1998;33:727-9.
8. Cameron D, Ong TH, Borzi P. Conservative management of mesenchymal hamartomas of the chest wall. J Pediatr Surg. 2001;36:1346-9.
9. Altaner S, Yoruk Y, Bilgi S, Puyan FO, Doganay L, Kutlu K. Multifocal mesenchymal hamartoma of the chest wall. Respirology. 2006;11:334-8.
10. Shimotake T, Fumino S, Aoi S, Tsuda T, Iwai N. Respiratory insufficiency in a newborn with mesenchymal hamartoma of the chest wall occupying the thoracic cavity. J Pediatr Surg. 2005;40:E13-6.
11. Donnelly LF, Frush DP. Abnormalities of the chest wall in pediatric patients. AJR Am J Roentgenol. 1999;173:1595-601.
12. Freeburn AM, McAloon J. Infantile chest hamartoma-case outcome aged 11. Arch Dis Child. 2001;85:244-5.
13. Brand T, Hatch EI, Schaller RT, Stevenson JK, Arensman RM, Schwartz MZ. Surgical management of the infant with mesenchymal hamartoma of the chest wall. J Pediatr Surg. 1986;21:556-8.
14. Kerrey B, Reed J. A neonate with respiratory distress and a chest wall deformity. Pediatr Emerg Care. 2007;23:565-9.
15. Ayala AG, Ro JY, Bolio-Solis A, Hernandez-Batres F, Eftekhari F, Edeiken J. Mesenchymal hamartoma of the chest wall in infants and children: a clinicopathologic study of five patients. Skeletal Radiol. 1993;22:569-76
16. Campbell AN, Wagget J, Mott MG. Benign mesenchymoma of the chest wall in infancy. J Surg Oncol. 1982;21:267-70.
17. Kadell BM, Coulson WF, Desilets DT, Fonkalsrud EW. Congenital atypical benign chondroblastoma of a rib. J Pediatr Surg. 1970;5:46-52.
2. Odell JM, Benjamin DR. Mesenchymal hamartoma of chest wall in infancy: natural history of two cases. Pediatr Pathol.1986;5:135-46.
3. Shamberger RC, Grier HE, Weinstein HJ, Atayde AR, Tarbell NJ. Chest wall tumors in infancy and childhood. Cancer. 1989;63:774-85.
4. Groom KR, Murphey MD, Howard LM, Lonergan GJ, Rosado-de- Christenson ML, Torop AH. Mesenchymal hamartoma of the chest wall: Radiologic manifestations with emphasis on cross-sectional imaging and histopathologic comparison. Radiology. 2002;222:205-11.
5. Nogues A, Gervas C, Oñativia A, Collado V. Benign costal mesenchymal hamartoma in a neonate. Pediatr Radiol. 2003;33:221-2.
6. Lisle DA, Ault DJ, Earwaker JW. Mesenchymal hamartoma of the chest wall in infants: Report of three cases and literature review. Australas Radiol. 2003;47:78-82.
7. Andiran F, Ciftci AO, Senocak ME, Akcören Z, Gögüs S. Chest wall hamartoma: An alarming chest lesion with a benign course. J Pediatr Surg. 1998;33:727-9.
8. Cameron D, Ong TH, Borzi P. Conservative management of mesenchymal hamartomas of the chest wall. J Pediatr Surg. 2001;36:1346-9.
9. Altaner S, Yoruk Y, Bilgi S, Puyan FO, Doganay L, Kutlu K. Multifocal mesenchymal hamartoma of the chest wall. Respirology. 2006;11:334-8.
10. Shimotake T, Fumino S, Aoi S, Tsuda T, Iwai N. Respiratory insufficiency in a newborn with mesenchymal hamartoma of the chest wall occupying the thoracic cavity. J Pediatr Surg. 2005;40:E13-6.
11. Donnelly LF, Frush DP. Abnormalities of the chest wall in pediatric patients. AJR Am J Roentgenol. 1999;173:1595-601.
12. Freeburn AM, McAloon J. Infantile chest hamartoma-case outcome aged 11. Arch Dis Child. 2001;85:244-5.
13. Brand T, Hatch EI, Schaller RT, Stevenson JK, Arensman RM, Schwartz MZ. Surgical management of the infant with mesenchymal hamartoma of the chest wall. J Pediatr Surg. 1986;21:556-8.
14. Kerrey B, Reed J. A neonate with respiratory distress and a chest wall deformity. Pediatr Emerg Care. 2007;23:565-9.
15. Ayala AG, Ro JY, Bolio-Solis A, Hernandez-Batres F, Eftekhari F, Edeiken J. Mesenchymal hamartoma of the chest wall in infants and children: a clinicopathologic study of five patients. Skeletal Radiol. 1993;22:569-76
16. Campbell AN, Wagget J, Mott MG. Benign mesenchymoma of the chest wall in infancy. J Surg Oncol. 1982;21:267-70.
17. Kadell BM, Coulson WF, Desilets DT, Fonkalsrud EW. Congenital atypical benign chondroblastoma of a rib. J Pediatr Surg. 1970;5:46-52.
How to Cite
1.
Morales OL, Valencia M de la L, Gómez C, Pérez M del P, Sanín E, Vásquez LM. Chest wall mesenchymal hamartoma: a case report. biomedica [Internet]. 2010 Mar. 1 [cited 2024 May 12];30(1):10-4. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/146
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Case presentation
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