A 9-year-old boy presented with this lump over the stomach started growing 6 months ago. He was very weak and has h/o Jaundice when he was born. He has h/o constipation but nothing was such serious. What will be your approach for this child?

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In fact the tumour mass is not over stomach but over anterior abdominal wall arising from soft tissue . Looks like a soft tissue tumour- A Sarcoma or a primitive cell tumour with rapid growth Get a F.NAC to confirm the diagnosis Also evaluate for any metastasis by a CECT abdomen and MRI . Surgical excision is indicated

Soft tissue tumor , sarcoma,lymphoma . Needs further investigations and evaluation to conclude diagnosis and line of treatment.

Thanks Dr Dinesh Gupta
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? Incarcerated Umbilical Hernia with a Large Neoplastic Growth,S/O Malignancy.Blastomas or Soft tissue Sarcomas.Advised Imaging,Bx & IHC.

Its a case of soft tissue sarcoma.Its because of secondary metastasis.CT and MRI will be required.

Its a case of umbilical hernia which will require surgery.

Umbilical hernia, long standing likely obstructed, neglected.

Soft tissue tumor, Sarcoma, Lymphoma, secondary metastasis, CTand MRI Imaging is required.

SUGGESTIVE. OF TUMOUR. .. ADVISABLE... R / O... MALIGNANCY...

Do usg fnac biopsy of the tumor

Tumour do usg looks beningn do HP CT abdomen with contrast

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