Fatal bilateral congenital mesenchymal hamartoma of the chest wall.

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dc.contributor.authorHemsrichart, Vichitraen_US
dc.contributor.authorCharoenkwan, Praneeen_US
dc.date.accessioned2009-05-27T19:50:26Z
dc.date.available2009-05-27T19:50:26Z
dc.date.issued2007-11-10en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractThe authors reported a newborn female baby, 36 weeks gestational age, 2680 gms who developed respiratory distress at 2 hours after birth. Her chest roentgenograms showed a normal-sized heart, sparse lung markings and bilateral masses involving the posterior 6th to 8th ribs. Thoracotomy with partial removal of the left chest mass was performed when she was 12 hours age. Postoperatively, the baby developed progressive respiratory distress and expired at 29 hours-age. Autopsy revealed bilateral nodular masses arising from the inner side of the posterior aspect of the 6th to 8th ribs, measuring 6 x 5 x 4 cm (right) and 7 x 6 x 4 cm (left). The cut surfaces showed multicystic spaces containing blood. Histologically, many blood filled spaces with walls of fibroblasts, cartilage and bone tissue were noted. The diagnosis was mesenchymal hamartoma of the chest wall. Mesenchymal hamartoma of the chest wall usually arises from the posterior or lateral portions of the rib and usually involves many ribs. Multi focal lesions and bilaterality are rare. The clinical presentation can be asymptomatic, mild or severe respiratory distress. Surgical resection is the treatment of choice.en_US
dc.description.affiliationInstitute of Pathology, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand.en_US
dc.identifier.citationHemsrichart V, Charoenkwan P. Fatal bilateral congenital mesenchymal hamartoma of the chest wall. Journal of the Medical Association of Thailand. 2007 Nov; 90(11): 2519-23en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/41889
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshFatal Outcomeen_US
dc.subject.meshFemaleen_US
dc.subject.meshHamartoma --complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshMesoderm --pathologyen_US
dc.subject.meshRespiratory Distress Syndrome, Newborn --etiologyen_US
dc.subject.meshThoracic Wall --pathologyen_US
dc.subject.meshThoracotomyen_US
dc.titleFatal bilateral congenital mesenchymal hamartoma of the chest wall.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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