SELSTOC – Ultrasound features and progression
By Allison Harris, Great Ormond Street Hospital
Background
The sudden appearance and rapid growth of a soft tissue lesion on the chest in an infant is worrying for both parents and clinicians. Because of this clinical history and when there is no known history of trauma, cases may be referred onwards as a suspected cancer, with cross-sectional imaging and possible biopsy or surgical removal. Whereas when a diagnosis of a self-limiting sternal tumours of childhood (SELSTOC) has been made, watch and wait is used to monitor the lesion, until it can no longer be seen or felt.
Discussion
SELSTOC is a rare lesion which demonstrates certain features (1). In this poster, the ultrasound features of cases seen at one centre will be compared to the evidence, along with progression of the lesions over time.
Conclusion
Ultrasound practitioners need to be aware of the ultrasound features of SELSTOC to prevent unnecessary worry and further investigations in an infant.
References
1. te Winkel ML, Lequin MH, de Bruyn JR, van de Ven CP, de Krijger RR, Pieters R, et al. Self-limiting sternal
tumours of childhood (SELSTOC). Pediatric Blood Cancer, 2010;55(1): 81-84.