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Unusual clinical tumor development in axilla
M Strunová1, D Pavlišta, M Janoušek
1Oncogynecological Centre, Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
A rapidly growing axillary mass initially misdiagnosed as inflammation was ultimately identified as a sarcoma. Surgical removal was crucial for accurate diagnosis and treatment planning.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- This case report details the clinical progression of a left axillary mass in a 36-year-old female.
- Initial presentation mimicked an enlarged lymph node with inflammatory signs.
Observation:
- Ultrasound revealed colliquation, and biopsy suggested inflammation, not malignancy.
- The mass rapidly enlarged from 2.5 cm to 10 cm within eight weeks.
Findings:
- Surgical excision enabled the definitive diagnosis of a small, mature-to-immature sarcoma.
- Histopathological examination could not precisely determine the sarcoma's tissue of origin (histogenesis).
Implications:
- This case highlights the importance of considering rare diagnoses even with initial benign findings.
- Aggressive tumor growth necessitates prompt surgical intervention for accurate diagnosis and treatment.
- Further histopathological analysis may be required for complex or rare sarcoma subtypes.
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