title: Periodic appearance and disappearance of a chest wall (serratus anterior development) cavernous hemangioma that was finally resected in a child.
abstract: Primary chest wall tumors occur infrequently; in particular, cavernous hemangioma of the chest wall is an extremely rare disease. We report a case of child with cavernous hemangioma of the chest wall, which was successfully resected. Obvious enlargement of the tumor and the appearance of pain were observed during a 2-year follow-up. In the present case, transcutaneous ultrasonography showed the appearance and disappearance of the mass. This was considered to be caused by the transfer of contents between the shallow and deep parts of the tumor. This may have resulted from serratus anterior muscle movement between the two-layered tumor. Transcutaneous ultrasonography, as well as magnetic resonance imaging, was therefore extremely effective for preoperative diagnosis. Transcutaneous ultrasonography is easily performed, even in children, such as in the present case. Because of its simplicity and usefulness, transcutaneous ultrasonography may be considered as the first-line imaging modality for diagnosis.
authors.affiliation: Division of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Kanagawa, Isehara 259-1193, Japan. k167999@is.icc.u-tokai.ac.jp
authors.forename: Tomoki
authors.initials: T
authors.lastname: Nakagawa
authors.forename: Hajime
authors.initials: H
authors.lastname: Watanabe
authors.forename: Kenei
authors.initials: K
authors.lastname: Nakazato
authors.forename: Daisuke
authors.initials: D
authors.lastname: Masuda
authors.forename: Go
authors.initials: G
authors.lastname: Ogura
authors.forename: Ryota
authors.initials: R
authors.lastname: Masuda
authors.forename: Naoya
authors.initials: N
authors.lastname: Nakamura
authors.forename: Masayuki
authors.initials: M
authors.lastname: Iwazaki
mesh_terms: D002648:Child; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D035441:Thoracic Wall