c l i n i c a l f o l i o s : n a r r a t i v e





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Differential Diagnosis of Groin Mass: 1

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The differential diagnosis of groin mass includes multiple entities that can be classified using the acronym M (malformation/congenital) I (infectious/inflammatory) N (neoplastic) T (traumatic) (see discussion.) Some are common and some rare, and many are quickly differentiated by presenting clinical picture, imaging and biopsy. The patient pictured above had an incarcerated femoral hernia (see strangulated femoral hernia.)     

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Differential Diagnosis of Groin Mass: 2

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The patient whose CT scan is shown above demonstrates some pathognomonic findings associated with groin mass presentation. Identify the abnormalities and think through a quick differential before proceeding to the next frame.     

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Differential Diagnosis of Groin Mass: 3

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The highlighted areas represent matted superficial groin nodes and enlarged deep groin/external iliac nodes. The patient had recurrent Merkel cell carcinoma, a very rare neoplasm, and underwent superficial (see superficial groin dissection for soft tissue myxoid chondrosarcoma) and deep groin dissection.    

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This page was last modified on 2/4/2008.