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Chest wall mass: what lies beneath?
Claire Elaine Richards1, Ahmed Mamdouh Taha Mostafa1, Amr Elmoheen1
1Department of Emergency Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Clinical Introduction:
A 24-year-old Filipino man attended the ED with a 1-month history of a discrete swelling over his upper anterior chest wall that was rapidly increasing in size and tenderness. He denied any other symptoms. His medical history was unremarkable.Examination revealed a tender, 7 cm × 6 cm mass over the upper part of the sternum (figure 1). The surface was smooth, it was immobile, non-compressible and the overlying skin was normothermic but mildly erythematous. Cervical lymphadenopathy was present. His vital signs were normal.emermed;35/10/586/F1F1F1Figure 1Chest wall mass.
Question:
What is the most likely diagnosis?LipomaChondrosarcomaLymphoma Mycobacterium tuberculosis (TB).
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