Concluded Case

since by birth groving painless lipoma

Good evening dr one of my pt name xyz having such type of swelling since many yers o / ex painless swelling .non dm non htn pleas tell about dignose and trtment.

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Concluded answer

Differential diagnosis Soft tissue swelling Lipoma Leiomyoma Fibroma Dermoid cyst

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Since swelling is for many years. Possible options of D/D are . 1.Lipoma,. 2.Dermoid cyst . 3.leiomyoma . 4.Benign soft tissue tumour. 5.Neurofibroma

Differential diagnosis Soft tissue swelling Lipoma Leiomyoma Fibroma Dermoid cyst

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Rule out osteochondroma ilium by xrays Teratoma is a rare possibility Further evaluation after xrays

Abscess or Lipoma or SEBACEOUS CYST Xray to rule out other tumour Blood sugar Removal under local anesthesia Antibiotics and antiinflammatories

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Lipoma..needs excisdion. DD..Sebaceous cyst...

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Effusion of jt dd ra dd tb dd uric acid dd synovitis dd cyst dd tumour malignant or beningn xray mri fnac HP

To me it seems to be a case of tuberculous abscess of the gluteal region. May be due to A. Cutaneous gluteal tuberculosis or sacral tuberculosis with cold abscess of gluteal region B. May be huge multidrug resistance tuberculous gluteal abscess. Tapping of fluid to go test for tubeculosis or to find out any malignancy

Long standing swelling gluteal region Without any significant history Likely LIPOMA

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The swelling is for many years and asymptomatic. May be a case of Sebaceous Cyst. Needs opinion of general surgeon for further management.

Sebaceous cyst Fibroma Lipoma Suggest Ultrasound, FNAC Excision

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