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  Vol. 152 No. 1, January 1998 TABLE OF CONTENTS
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  Pathological Case of the Month
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Pathological Case of the Month

Orestes Borrego, MD; Enid Gilbert-Barness, MD
From the Department of Pathology, University of South Florida, Tampa.

Arch Pediatr Adolesc Med. 1998;152:91-92.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 3-year-old boy was seen with a history of a soft tissue mass over the occipital area that had increased in size during the last 6 weeks. On physical examination, a 5x4-cm, firm, mobile, tender mass was noted. A clinical history and the findings from the remainder of the physical examination were not contributory. Computed tomographic scans showed a large mass eroding through the occiput bone (Figure 1). Results of abdominal ultrasound and a skeletal survey were negative. The mass was curetted surgically. The patient's postoperative course was uneventful, and he was discharged from the hospital 3 days after surgery. Microscopic sections are shown in Figure 2 and electron microscopic findings in Figure 3.


Figure 1.


Figure 2.


Figure 3.


Diagnosis and Discussion: Eosinophilic Granuloma of Bone (Langerhans Histiocytosis)

Figure 1. Computed tomographic scan showing lesion eroding the bone of the occipital area of the calvaria.

Figure . . . [Full Text of this Article]







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