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Axillary fossa tumours in children: rare and easily missed

Sandeep Shewale1, Roderick Duncan, Dermot Murphy

  • 1Royal Hospitalfor Sick Children, Glasgow, Scotland. shewalesandeep@yahoo.com

Acta Orthopaedica Belgica
|April 11, 2009
PubMed

Insights

Diagnosing soft-tissue sarcoma in children can be delayed. Early suspicion and thorough examination of unusual arm symptoms are crucial for timely diagnosis and treatment.

Area of Science:

  • Pediatric Oncology
  • Orthopedic Surgery
  • Pediatric Neurology

Background:

  • Soft-tissue sarcomas are rare in children.
  • Delayed diagnosis of pediatric sarcomas is a recognized challenge.
  • Axillary fossa sarcomas can present with vague symptoms.

Observation:

  • Three pediatric cases of soft-tissue sarcoma in the axillary fossa are presented.
  • Patients experienced arm pain and neurological deficits.
  • Night pain was a significant symptom in two cases.

Findings:

  • Diagnosis was delayed in all three cases, requiring multiple hospital visits.
  • Symptoms included pain at rest, pain with shoulder movement, and upper limb neurological dysfunction.
  • Soft-tissue sarcoma of the axillary fossa should be considered in children with unexplained arm symptoms.

Implications:

  • Emphasizes the need for a high index of suspicion for sarcomas in children with unusual neurological symptoms.
  • Highlights the importance of thorough physical examination, including the axilla.
  • Advocates for early referral for specialist opinion to improve diagnostic timelines and patient outcomes.

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