Premalignant Conditions of Bone

Eckhoff, Michael D.; Wells, Matthew; Padilla, Osvaldo; Polfer, Elizabeth M.; Castagno, Christopher J.; Thabet, Ahmed M.; Elzamly, Shaimaa; Wilson, Harry; Rajani, Rajiv

doi:10.5435/jaaosglobal-d-22-00097

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2023

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“…Soft tissue sarcomas can present as insidious, benign masses and are often misdiagnosed as other masquerading conditions [13][14][15]. In the case of a soft tissue "hematoma" that is not associated with trauma, has no history of ecchymosis, and is increasing in size or symptoms, concerns arise about the possibility of soft tissue sarcomas [16].…”

Section: Discussionmentioning

confidence: 99%

A Masquerading Hematoma Resulting in the Delayed Diagnosis of a Soft Tissue Sarcoma: A Case Report

Wells,

Qiao,

Decker

et al. 2023

Cureus

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A 27-year-old male with insidious right arm swelling was diagnosed with a hematoma secondary to a partial biceps tear, later identified as a rhabdomyosarcoma. Soft tissue sarcomas (STS) may present with misleading patient histories and nonspecific symptoms, resulting in misdiagnosis and delayed treatment. One of the classic masqueraders of soft tissue sarcomas is hematomas secondary to trauma. Obtaining a prudent history with careful scrutiny of appropriate imaging often helps establish the correct diagnosis. Ultimately, tissue biopsy can resolve any ambiguous cases and prevent delays in diagnosis and treatment.

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