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Anterior Mediastinal Mass — RACP Paediatrics MCQ

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HardRespiratoryAnterior Mediastinal MassRACP Paediatrics

A 3-year-old child has a barking cough and biphasic stridor for 6 months. A previous CXR showed an anterior mediastinal mass. What is the most concerning diagnosis?

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Correct answer: C — Anterior mediastinal mass compressing the trachea

Chronic biphasic stridor with an anterior mediastinal mass raises concern for lymphoma or teratoma compressing the trachea. Anaesthesia can cause complete airway obstruction.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Anterior Mediastinal Mass