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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1249-1257 October 26, 2000 Number 17
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Case 33-2000— A Seven-Year-Old Girl with the Superior Vena Cava Syndrome after Treatment for a Peripheral Rhabdomyosarcoma
Eric Larsen, and Laurence de Leval

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Presentation of Case

A seven-year-old girl was admitted to the hospital because of the superior vena cava syndrome.

She had been in good health until the age of three years five months, when she had pain in her right upper arm of one week's duration. A physician found a mass in her right upper arm. Radiographic examination showed a soft-tissue mass without involvement of the adjacent bone. A magnetic resonance imaging (MRI) study (Figure 1) revealed that the mass arose in the region of the brachialis muscle and displaced the tendon of the biceps muscle; the radial nerve appeared to pass . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Eric Larsen's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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