November 2015

Axillary mass with very irregular borders. Does this look like a lymph node?

Clinical Info

Patient feels a lump in the axilla and is worried about a possible lymph node metastasis.

Ultrasound Images & Clips

Axillary mass with very irregular borders. Does this look like a lymph node

Axillary mass with very irregular borders. Does this look like a lymph node
Axillary mass with very irregular borders. Does this look like a lymph node
Another image of the lesion
Another image of the lesion
Another image of the lesion
Another image of the lesion
The lesion is moderately stiff with elastography so that doesn't really help. The patient was treated for FAP 
(familial adenomatous polyposis)and we did a core biopsy
The lesion is moderately stiff with elastography so that doesn't really help. The patient was treated for FAP (familial adenomatous polyposis)and we did a core biopsy
This is a lesion in the abdominal wall in a 75 year old male patient
This is a lesion in the abdominal wall in a 75 year old male patient
This lesion also has very irregular margins
This lesion also has very irregular margins
The lesion is vascularized
The lesion is vascularized
Another image showing vessels within the lesion. Again we decided to do a core biopsy
Another image showing vessels within the lesion. Again we decided to do a core biopsy

Conclusion

Both lesion proved to be desmoid tumors. Patients with a known FAP( familial adenomatous polyposis) heve a higher risk for desmoid tumors.


Details

  • Sex: Female
  • Age: 38

Created with

  • Hitachi Ultrasound System