CTICasesType III Pleuropulmonary Blastoma
Imaging findings
CT chest in a young child shows a massive, heterogeneous right hemithorax mass featuring mixed solid and cystic components, causing mediastinal shift. Skeletal survey shows associated osteolytic bone metastases. Pathology confirmed type III pleuropulmonary blastoma.
Key takeaways
Pleuropulmonary blastoma (PPB) is a rare, highly aggressive, intrathoracic malignancy of childhood (typically presenting under 6 years of age). Type III PPB consists of mixed solid and cystic components, which can grow rapidly and metastasize to bone, requiring aggressive surgical and oncological management.
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