Main Article Content
Differential diagnosis of a large soft tissue swelling is multiple, but perhaps the most feared diagnosis is a soft tissue sarcoma. Inappropriate aspiration may cause seeding of the cancer cells and complicates future management of the soft tissue sarcoma.
This is a case of a 44 year old male, with a one month history of left thigh swelling. There was no fever, pain, discharge and no trauma. On examination, there was a large swelling over antero medial aspect of the thigh. A junior doctor suspected underlying abscess and attempted needle aspiration but it was a dry aspirate. Bedside ultrasound showed a well enscapsulated dense lesion, rather homogenous in appearance. The diagnosis of possible benign soft tissue tumour was made. But because of its its significant size, soft tissue sarcoma has to be ruled out, hence the patient was referred to orthopaedic oncology unit. MRI scan confirms this finding of homogenous lesion suggestive of intramuscular lipoma.
Discussion & Conclusion
Point of care ultrasound is a useful adjunct to narrow down differential diagnosis of a swelling and fast track patient to the appropriate unit.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).