G. Hahn (Dresden)  

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Thorax-Muscular system / Connective tissue / Skin  

neoplastic  

For 2 weeks, a painless swelling in the left cervical area and in the suprapit. Surgical aspiration of the mass. Diagnosis: hematoma.
After 6 months, severely increased swelling.  

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<- view MRI 1

MRI 1: (TIRM transversal): Inhomogenic hyperintense mass, which is partly septated in the serratus muscle anteriorly to the left.



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MRI 2: (TIRM coronal)




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MRI 3: (T1 transversal): Practically muscle isointense mass to the left cervically and throacically.



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MRI 4: (T1 with i.v. contrast, transversal): Mass with cystic and solid parts, which show contrast uptake.



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MRI 5: (T1 with i.v. contrast and fat saturation, coronal)



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MRI 6: (T1 with i.v. contrast and fat saturation, transversal)



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MRI 7: (T1 with i.v. contrast and fat saturation, sagittal)




 

Surgery / Histo  

Other soft-tissue tumors, i.e. Rhabdomyosarcoma  

After incomplete surgery, chemotherapy with receding size of the tumor. After that, radiation. Now no proof of tumor rests with radiogenic edema in the region of radiation.  

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Synovial, Sarcoma, Synovialis sarcoma, shoulder joint, Synovial sarcoma, child, childhood, pediatric radiology  

G Hahn. Synovial sarcoma (shoulder joint). PedRad [serial online] vol 2, no. 1.
URL: www.PedRad.info/?search=20020124110219