60 YOM with painless lower neck mass Differential Diagnosis?

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Thymoma protruding out .thyroid less likely can be aneurysm or lympnode or sternal bony swelling need to palpate

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
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The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)

Thyroid swelling can't be ruled out entirely possibly thyroid goitre benign or malignant lesion of thyroid or mesenchymal tumour of bone fat or cartilage is another diffrential

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
0

Retro sternal goitre unlikely as it's a swelling at the level suprasternal notch....swelling of thymus or lymphoma...FNAC to do....looks like patients is comfortable with the swelling...and came at OPD

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
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pt also had Fever, night sweating and weight loss

Is it pusatile? Aortic aneurysm.

Exclude serum vdrl ... dm..
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?Retrosternal goitre

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
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Could be thymoma , lymphoma , retrosternal goitre or simple lipoma Advice fnac

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
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This is I think a goitre and only goitre. FNAC will tell. Can be partly retrosternal.

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
1

Possibility of simple lipoma.

The Diagnosis: Solitary Plasmacytoma of Bone (SPB) proved by biopsy which showed Plasma cell infiltration (90%)
0
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