60 YOM with painless lower neck mass Differential Diagnosis?
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%)
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
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
pt also had Fever, night sweating and weight loss
Is it pusatile? Aortic aneurysm.
?Retrosternal goitre
Could be thymoma , lymphoma , retrosternal goitre or simple lipoma Advice fnac
This is I think a goitre and only goitre. FNAC will tell. Can be partly retrosternal.
Possibility of simple lipoma.
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