c l i n i c a l f o l i o s : d i s c u s s i o n



Differential Diagnosis of Groin Mass

 

 

Related narrative: Differential Diagnosis of Groin Mass


MINT acronym:


Malformation

 

congenital/primary: undescended/retractile testicle (see VID 971, frame 2),
hernia (VID 628, frames 17-19, VID 95), cyst, hydrocele (VID 223)

 

secondary

   

structural: hernia (VID 253, VID 998) (inguinal, femoral), aneurysms,
pseudoaneurysm, varicocele


Infectious/Inflammatory

 

viral

   

mononucleosis (Epstein-Barr virus)

   

mono-like (CMV, human herpesvirus 6, HIV, herpes simplex, adenovirus)

 

abscess

 

venereal disease

   

with skin ulceration

     

chancroid

     

granuloma inguinale (Calymmatobacterium granulomatis)

   

without ulceration

     

lymphogranuloma venereum (LGV) (Chlamydia trachomatis)

 

granulomatous

   

TB

   

sarcoid

 

endometriosis (VID 888)

 

orthopedic

   

ileopectineal (hip) bursitis

   

synovial proliferative disease (eg. osteochondromatosis)

   

ortho neoplasm (VID 948)

 

tropical

 

zoonoses

   

cat scratch (VID 882, VID 884) (bartonellosis)

   

plague (Yersinia pestis)

   

tularemia (Francisella tularensis)


Neoplastic

 

benign

   

lipoma (VID 1066)

 

malignant

   

primary

     

lymphoma (VID 1116)

   

metastatic

     

skin

       

common: squamous, melanoma (VID 112, VID 626, VID 815)

       

rare: poroma (VID 110), merkel cell carcinoma

     

genital: vulva, vaginal, penile, gonadal

     

GI: anal (VID 1245), metastatic adeno. (rare)

     

other: endocrine, breast, lung


Traumatic

 

aneurysm (VID 15), A/V fistula (VID 622), hematoma (VID 1197) (e.g. post fem. a. cath)


References:

Shadbolt CL et al: Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics 2001; 21:S261-271.

Goedde TA: Eccrine porocarcinoma; J Surg Oncol: 55(4) 261-264.

Milam MR: Adenosarcoma arising in inguinal endometriosis; Obst & Gynec 2006; 108:753-755.

Guillem P; Round ligament varicosities mimicking inguinal hernia: a diagnostic challenge during pregnancy; Acta chir belg: 2001; 101: 310-311.

Wasserberg N; Case report: sentinel node-guided lymph node dissection for Merkel cell carcinoma;
Eur J Sur Oncol; 25(4): Aug 1999: 444-446.

Hurt C et al; Diagnostic evaluation of mononucleosis-like illnesses; Am J Med; 2007; 120:911e1-911e8.

Fremkl TL; Sexually transmitted infections; Urol Clin NA 35 (2008) 33-46.

Lupi O; Tropical dermatology: bacterial tropical diseases; J Am Acad Dermatol; April 2006; 559-578.

Ahmed I et al; Subcutaneous sarcoidosis: is it a specific subset of cutaneous sarcoidosis frequently associated with systemic disease? J Am Acad Dermatol; January 2006; 54: 55-60.

Massei F et al; The expanded spectrum of Bartonellosis in children; Infect Dis Clin N Am 19 (2005) 691-711.

Eliasson H et al; Tularemia: current epidemiology and disease management; Infect Dis Clin N Am 20 (2006) 289-311.


This page was last modified on 5-Feb-2008.