Skip to content Skip to navigation

Connexions

You are here: Home » Content » Images of Memorable Cases: Cases 135, 136, 137 & 138

Navigation

Content Actions
  • Download module PDF
  • Add to ...
    Add the module to:
    • My Favorites
    • A lens
    • An external social bookmarking service
    • My Favorites (What is 'My Favorites'?)
      'My Favorites' is a special kind of lens which you can use to bookmark modules and collections directly in Connexions. 'My Favorites' can only be seen by you, and collections saved in 'My Favorites' can remember the last module you were on. You need a Connexions account to use 'My Favorites'.
    • A lens (What is a lens?)

      Definition of a lens

      Lenses

      A lens is a custom view of Connexions content. You can think of it as a fancy kind of list that will let you see Connexions through the eyes of organizations and people you trust.

      What is in a lens?

      Lens makers point to Connexions materials (modules and collections), creating a guide that includes their own comments and descriptive tags about the content.

      Who can create a lens?

      Any individual Connexions member, a community, or a respected organization.

    • External bookmarks
  • E-mail the authors

Lenses

What is a lens?

Definition of a lens

Lenses

A lens is a custom view of Connexions content. You can think of it as a fancy kind of list that will let you see Connexions through the eyes of organizations and people you trust.

What is in a lens?

Lens makers point to Connexions materials (modules and collections), creating a guide that includes their own comments and descriptive tags about the content.

Who can create a lens?

Any individual Connexions member, a community, or a respected organization.

This content is ...

Affiliated with (What does "Affiliated with" mean?)

This content is either by members of the organizations listed or about topics related to the organizations listed. Click each link to see a list of all content affiliated with the organization.
  • Ricepress

    This module is included inLens: Rice University Press Titles
    By: Rice University PressAs a part of collection:"Images of Memorable Cases: 50 Years at the Bedside"

    Click the "Ricepress" link to see all content affiliated with them.

Also in these lenses

  • Printable Books

    This module is included inLens: Connexions Books Available for Print on Demand
    By: ConnexionsAs a part of collection:"Images of Memorable Cases: 50 Years at the Bedside"

    Comments:

    "This book is available in full color in three different formats, published by Rice University Press. It presents a series of interesting medical cases and the eventual diagnosis of each one. "

    Click the "Printable Books" link to see all content selected in this lens.

  • Rice University Press

    This module is included inLens: Rice University Press
    By: Frederick MoodyAs a part of collection:"Images of Memorable Cases: 50 Years at the Bedside"

    Click the "Rice University Press" link to see all content selected in this lens.

Recently Viewed

Tags

(What is a tag?)

These tags come from the endorsement, affiliation, and other lenses that include this content.

Images of Memorable Cases: Cases 135, 136, 137 & 138

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

Exercise 1

Cases_135_136_137_138-pres1-1.jpg 135

This 42-year-old woman had generalized lymphadenopathy, hepatosplenomegaly, and several hard, nonpainful, sternal masses.

Cases_135_136_137_138-pres1-2.jpg 136

This 60-year-old man had hematuria and a pulsatile sternal mass.

Cases_135_136_137_138-pres1-3.jpg 137

This 63-year-old man had a large, rounded, nontender, firm mass in the area of the right sternoclavicular joint. He was afebrile but had anemia, proteinuria, and renal insufficiency.

Cases_135_136_137_138-pres1-4.jpg 138

This 76-year-old woman presented with jaundice and a mass in the upper part of her sternum.

Solution 1

135. Hodgkin’s disease

Involving the sternum.

136. Renal cell carcinoma

Metastatic to the sternum.

137. Multiple myeloma

With plasmacytoma involving the right sternoclavicular joint.

138. Pancreatic carcinoma

Metastatic to the sternum.

Most sternal masses represent metastases. The primary tumor is usually lymphoma, multiple myeloma, or carcinoma of the breast, kidney, or thyroid. Pulsation of the mass strongly suggests multiple myeloma or metastases from renal or thyroid carcinoma.

Primary sternal tumors are almost always malignant and typically are chondrosarcomas.

In some cases, sternal swelling signals infection (e.g., tuberculosis, coccidioidomycosis, aspergillosis, brucellosis, and staphylococcal or pseudomonal disease).

Comments, questions, feedback, criticisms?

Send feedback