63yr old male Swelling over the back(inter scapular region)since 8years Diagnosis and management?

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Swelling in middle of thorasic region in interscapular area appears reddish needs thourough clinical examination as it is above vertebral column. Investigations like x-rays of dorsal spine A.P. and Lateral,M.R.I ( if possible),and ultrasonography of the swelling to know that it is from skin or surrounding structures.F.N.A.C. also done for the nature of the swelling.As per the pictures presented it looks like Infected sebaceous cyst.In D/D dermoid cyst, Lipoma.Above investigations will guide the diagnosis.Surgical excision is the treatment of choice.
IT'S A CASE OF..SWELLING BACK..INTERSCAPULAR..REG.. D/D.. * LIPOMA.. *CYSTIC..SEBACEOUS CYST.. * DERMOID CYST.. * BONE PATHOLOGY.. NEED'S.. FNAC.. BIOPSY.. USG STUDY.. X-RAY STUDY..
Tnx Dr Dhaval Acharya
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Advice MRI PAINFUL? FREELY MOVABLE ON UNDERLYING SURFACE?? SIGNS OF INFLAMMATION? PITTING/NON PITTING? HARD OR SOFT? NODULAR? IT MAY BE ANYTHING PATHOLOGY ARISING FROM SPINE OR JUST A SUPERFICIAL CYST.. DO FNAC BIOPSY TO SEE PATHOLOGY MRI WILL REVEL THE EXACT EXTENSION OF THE UNDERLYING PATHOLOGY
Clinically definitely sub cutaneous swelling of back of chest , para median , long duration, no signs of inflammation, no history of fever etc. Hairy chest wall....clinical evaluation most important. If soft, mobile +/_ cystic.just go for excision under local. No need for FNAC or biopsy as it is unlikely be malignant. Biopsy or Fnac only if hard. This is very likely a case of sebaceous cyst or dermoid cyst. Or Lipoma.
Looks like sebaceous cyst. Can’t be diagnosed with pictures only. Needs local examination & sos investigations.
There seems to be a punctum, suggesting a diagnosis of sebaceous cyst . DD Lipoma, epidermis cyst
Most likely it is subcutaneous to me...it appears as lipoma. D/d sebaceous cyst - dermoid cyst
Sebaceous cysts Excision and dressings with povidin and Antibiotic and NASID
Likely DD 1.Lipoma. 2.sebaceous cyst. Dermoid cat. Needs FNAC Biopsy.
Differential diagnoses: Lipoma Sebaceous cyst Dermoid cyst
As we can see the punctum,it is sebaceous cyst.Needs surgical excision under local anaesthesia.
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