A lump of the trunk: Non lipoma or epidermoid cyst

Abstract

Lumps and bumps are relatively common presenting problems in the primary-care/general practice, and their differential diagnoses diverse with anatomical location. Clinical and imaging diagnosis of softtissue lumps are challenging at times, and require partial or total excision for diagnosis and management. Following relevant history and examination, ultrasonography is useful as a next step non-invasive tool to be able to evaluate the size, attachment, and vascularity of the lump prior to procedure, and also confirmation of common lumps such as lipoma or cyst. We present here a case of trunkal (chest-wall) soft-tissue lump which turned out a schwannoma in a 17-year-old male, and briefly described how to manage it.