Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [duration] history of [right/left] chest wall pain, described as [quality, e.g., dull, sharp, constant, intermittent]. Associated symptoms include [palpable mass, swelling, fever, night sweats, weight loss, dyspnea, cough]. Pain is [worsened/improved] by [activity/rest]. [Any prior trauma or infection].
Clinical Examination Findings
Patient appears [well-nourished/cachectic/ill-appearing]. [No acute distress/in mild distress due to pain]. Vital signs stable: BP [X], HR [X], RR [X], Temp [X], O2 Sat [X]. [No pallor/jaundice/cyanosis]. [Lymphadenopathy in neck/axilla/inguinal regions].
Treatment Protocol
Discussed multidisciplinary approach including neoadjuvant chemotherapy, surgical resection of the chest wall tumor with reconstruction, followed by adjuvant chemotherapy and/or radiation therapy. Referral to [pediatric oncology, surgical oncology, radiation oncology]. [Further imaging/biopsy results pending].