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Updated: Feb 12, 2026
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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Unusual Presentation of Fibrosarcoma in a Child
Afshan Fayyaz1, Chaudhry Aqeel Safdar2
1Department of Radiology, Army Medical College, Rawalpindi.
Summary
Infantile fibrosarcoma, a rare malignant soft tissue tumor, can mimic benign cystic hygroma on initial imaging, delaying diagnosis. This case highlights the importance of considering rare differentials in pediatric soft tissue masses.
Area of Science:
- Pediatric Oncology
- Radiology
- Pathology
Background:
- Malignant soft tissue tumors are uncommon in infants, necessitating accurate diagnostic approaches.
- Differentiating benign from malignant musculoskeletal lesions relies on specific radiologic features.
Observation:
- A case initially diagnosed as cystic hygroma based on ultrasound and MRI showed a poor response to treatment.
- Recurrent symptoms prompted a re-evaluation of the initial diagnosis.
Findings:
- The tumor was ultimately identified as a cystic infantile fibrosarcoma through angiography, embolization, surgery, and histopathology.
- Initial misinterpretation as cystic hygroma led to delayed diagnosis and treatment.
Implications:
- This case underscores the challenge of diagnosing infantile fibrosarcoma and its potential to mimic benign conditions.
- Accurate and timely diagnosis is crucial for effective management of pediatric soft tissue sarcomas.
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