Self-Limiting Sternal Tumour of Childhood: Recognition Prevents Unnecessary Diagnostics and Treatment.

IF 2.1 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-07-21 DOI:10.1111/apa.70231

Thomas Mol, Astrid Leus, Nathan Demeyere, Jaques van Heerden, Machiel van den Akker

{"title":"Self-Limiting Sternal Tumour of Childhood: Recognition Prevents Unnecessary Diagnostics and Treatment.","authors":"Thomas Mol, Astrid Leus, Nathan Demeyere, Jaques van Heerden, Machiel van den Akker","doi":"10.1111/apa.70231","DOIUrl":null,"url":null,"abstract":"Aim: Self-limiting sternal tumour of childhood (SELSTOC) is a rare, benign tumour, characterised by a rapidly growing pre- or parasternal mass in children up to 2 years of age. This review aimed to improve awareness among physicians and summarise the clinical features and outcomes of SELSTOC.Methods: We conducted PubMed and Google Scholar searches to collect data on children diagnosed with SELSTOC from the earliest records until July 2024. Three new cases from two Belgian paediatric hospitals (ZAS Queen Paola Children's Hospital and University Hospital Brussels) were included. Data on demographics, clinical presentation, diagnostics, treatment and outcomes were analysed.Results: Forty-one children were included (3 new cases) with a mean age of 14.0 ± 8.3 months and with a male predominance (25 males, 16 females). Fever occurred in 33% (13/39), pain or tenderness in 55% (21/38), discolouration in 33% (11/33) and warmth in 4% (1/23). Ultrasound was used in 90% (37/41), typically showing a hypoechoic, heterogeneous, avascular mass with pre-, para- and retrosternal components ('dumbbell' shape). All lesions resolved spontaneously within weeks to months.Conclusion: Greater clinical awareness of SELSTOC is essential to prevent unnecessary investigations and treatments, given its benign, self-limiting course.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Paediatrica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/apa.70231","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Aim: Self-limiting sternal tumour of childhood (SELSTOC) is a rare, benign tumour, characterised by a rapidly growing pre- or parasternal mass in children up to 2 years of age. This review aimed to improve awareness among physicians and summarise the clinical features and outcomes of SELSTOC.

Methods: We conducted PubMed and Google Scholar searches to collect data on children diagnosed with SELSTOC from the earliest records until July 2024. Three new cases from two Belgian paediatric hospitals (ZAS Queen Paola Children's Hospital and University Hospital Brussels) were included. Data on demographics, clinical presentation, diagnostics, treatment and outcomes were analysed.

Results: Forty-one children were included (3 new cases) with a mean age of 14.0 ± 8.3 months and with a male predominance (25 males, 16 females). Fever occurred in 33% (13/39), pain or tenderness in 55% (21/38), discolouration in 33% (11/33) and warmth in 4% (1/23). Ultrasound was used in 90% (37/41), typically showing a hypoechoic, heterogeneous, avascular mass with pre-, para- and retrosternal components ('dumbbell' shape). All lesions resolved spontaneously within weeks to months.

Conclusion: Greater clinical awareness of SELSTOC is essential to prevent unnecessary investigations and treatments, given its benign, self-limiting course.

查看原文本刊更多论文

儿童自限性胸骨肿瘤：识别防止不必要的诊断和治疗。

目的：儿童自限性胸骨肿瘤（SELSTOC）是一种罕见的良性肿瘤，其特征是在2岁以下的儿童胸骨前或胸骨旁快速生长。本综述旨在提高医生对SELSTOC的认识，总结SELSTOC的临床特点和结果。方法：通过PubMed和谷歌Scholar检索，从最早的记录中收集到2024年7月诊断为SELSTOC的儿童的数据。包括来自两家比利时儿科医院（ZAS保拉女王儿童医院和布鲁塞尔大学医院）的三例新病例。分析了人口统计学、临床表现、诊断、治疗和结果的数据。结果：共纳入患儿41例（新发病例3例），平均年龄14.0±8.3个月，男25例，女16例。33%（13/39）患者出现发热，55%（21/38）患者出现疼痛或压痛，33%（11/33）患者出现变色，4%（1/23）患者出现发热。90%（37/41）的患者采用超声检查，典型表现为低回声、异质性、无血管肿块，胸骨前、胸骨旁和胸骨后组成部分呈“哑铃”状。所有病变在几周到几个月内自行消退。结论：鉴于其良性、自限性，提高临床对SELSTOC的认识对于防止不必要的调查和治疗至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries