Chest Wall Mass in a 50-year-old Woman

Chatha, Deep S.; Rybak, Leon; Wittig, James C.; Desai, Panna

doi:10.1007/s11999-009-1113-2

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…In our patient, an incisional biopsy was not performed as such a biopsy might increase the risk of systemic dissemination in the event of a parasitic cyst. Inflammatory arthritis may manifest as costosternal pain and swelling but show radiographic features like reactive periostitis and hyperostosis [8]. Crystal deposition disorder may present as costosternal pain and swelling and display hyperostosis radiographically.…”

Section: Discussion and Treatmentmentioning

confidence: 99%

Orthopaedic Case of the Month: A 25-Year-Old Man with a Paramedian Painful Lump over the Anterior Chest Wall

Arora

Sural

Dhal

2011

Clinical Orthopaedics &Amp; Related Research

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A 25-year-old Indian man presented with a swelling of 3-weeks duration over the anterior aspect of his left chest (Fig. 1). The swelling was painful and associated with intermittent low-grade fever. It was insidious in onset and gradually progressive in size. There was no history of cough, hemoptysis, recent weight loss, anorexia, pruritus, seizures, or similar swellings elsewhere in the body. The swelling was not associated with any preceding history of trauma. His medical and family histories were noncontributory. The patient had visited a primary care physician who made the provisional diagnosis of muscular cysticercosis and referred the patient to our institution. On examination, the patient's vital signs were stable and there was no evidence of lymphadenopathy. His physical status was good. Local examination revealed a tender 5-cm 9 3-cm hemispheric fluctuant mass located over the left lower chest wall anteriorly near midline. Its margins were not well defined. Local temperature was increased. The overlying skin was freely mobile and there were no scars or sinuses. On attempted contraction of the upper abdominal muscles, there was no change in the size of the swelling; however, its side-to-side mobility became restricted, suggestive of a swelling arising in the muscle. The rest of the organ systems (respiratory system, abdomen, nervous system) appeared normal on clinical examination.Laboratory examination revealed an increased leukocyte count (13,400/mm 3 ) and the differential count was 60 polymorphonuclear leukocytes, 35 lymphocytes, two monocytes, and three eosinophils. The erythrocyte sedimentation rate (53 mm at the end of the first hour) and C-reactive protein (10.3 mg/L) levels were increased. The sputum examination was negative for acid-fast bacilli. Enzyme-linked immunosorbant assay (ELISA) was negative for cysticercosis antibodies. The ELISA test for HIV I and II antibodies was negative. The patient's immune status was normal with no other focus of infection.The patient underwent imaging studies and laboratory tests. Plain radiographs of the chest were normal. Ultrasound, CT, and MRI of the chest were performed.Based on the history, physical examination, and imaging studies, what is the differential diagnosis? Imaging InterpretationUltrasound examination revealed an oval hypoechoic lesion 5 cm 9 3 cm 9 2 cm in the substance of the left rectus abdominis muscle with increased echogenicity of adjacent muscle fibers suggestive of edema; however, there was no evidence of hyperechoic focus (suggestive of calcification or scolex) in the lesion. Doppler examination Each author certifies that he has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his institution approved the reporting of this case report, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participa...

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Section: Discussion and Treatmentmentioning

confidence: 99%

Orthopaedic Case of the Month: A 25-Year-Old Man with a Paramedian Painful Lump over the Anterior Chest Wall

Arora

Sural

Dhal

2011

Clinical Orthopaedics &Amp; Related Research

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“…. The younger age group is affected more with smaller bone involvement [3]. Biscaglia et al has found the incidence as 45% among individuals below 20 years of age [4].…”

Section: Case Reportmentioning

confidence: 99%

Giant Cell Tumor of Talus – Role of Imaging

Sharma¹,

Sharma²,

Ramchandran³

et al. 2016

IJCR

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Giant cell tumor (GCT) or Osteoclastoma of the tarsal bone is very rare as compared to that of long bones. The involvement of talus becomes unique in its presentation as it remains undiagnosed for a long time. The tumor usually occurs in younger age especially in small bones of hands and feet. We present a case of 34-years old male who presented with sprain of left foot and was finally diagnosed as giant cell tumor of the talus. This was possible with the help of various radiological modalities like plain X-ray, computerised tomography (CT) and magnetic resonance imaging (MRI). GCT of talus may be found as an incidental finding but the subsequent management depends upon the staging of the tumor as per the radiological evaluation.

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Mammary neoplasia in common brushtail possums: case report and retrospective identification of additional cases

et al. 2020

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BackgroundMammary neoplasia in possums have been sporadically reported in the literature.Case reportAn adult common brushtail possum with severe dyspnoea warranting euthanasia was submitted for postmortem examination. Necropsy revealed a firm pale tan multilobulated mammary mass which contained pale tan tissue on section. Mammary carcinoma with metastases to the lungs, pleura, intercostal muscles and reproductive tract was diagnosed microscopically. Spontaneous neoplasms in possums are rarely reported. To provide a comprehensive insight into possum neoplasia, a retrospective evaluation of female reproductive disorders of growth in common brushtail possums from the Australian Registry of Wildlife Health (ARWH), Taronga Zoo, and University of Sydney, Veterinary Pathology Diagnostic Services (VPDS), was performed to identify additional cases.ConclusionThe present report describes the first published case report of mammary carcinoma in a common brushtail possum. This article should serve as a valuable reference for the types and relative frequencies of female reproductive disorders of growth that occur in possum species.

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Chest Wall Mass in a 50-year-old Woman

Cited by 5 publications

References 11 publications

Orthopaedic Case of the Month: A 25-Year-Old Man with a Paramedian Painful Lump over the Anterior Chest Wall

Orthopaedic Case of the Month: A 25-Year-Old Man with a Paramedian Painful Lump over the Anterior Chest Wall

Giant Cell Tumor of Talus – Role of Imaging

Mammary neoplasia in common brushtail possums: case report and retrospective identification of additional cases

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