What is the diagnosis for a patient with fat stranding of the subscapularis muscle, elevated White Blood Cell (WBC) count, elevated Erythrocyte Sedimentation Rate (ESR), and elevated C-Reactive Protein (CRP) labs, with a history of breast cancer and supraclavicular swelling?

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Differential Diagnosis

The patient presents with fat stranding of the subscapularis, elevated WBC, ESR, and CRP labs, a history of breast cancer, and supraclavicular swelling. Here's a differential diagnosis organized into categories:

  • Single Most Likely Diagnosis

    • Metastatic breast cancer to the subscapularis region: This is likely due to the patient's history of breast cancer and the presence of supraclavicular swelling, which can be a sign of metastasis. The elevated inflammatory markers (WBC, ESR, CRP) may indicate an inflammatory response to the tumor.
  • Other Likely Diagnoses

    • Infectious process (e.g., abscess or cellulitis) in the subscapularis region: The elevated WBC, ESR, and CRP labs suggest an infectious or inflammatory process. Given the location and the patient's history, an infection in this area could be a consideration.
    • Lymphoma: Supraclavicular swelling can be associated with lymphoma, and the patient's history of cancer increases the likelihood of a second primary malignancy. The inflammatory markers could be elevated in response to the lymphoma.
    • Metastatic disease from another primary cancer: Although the patient has a history of breast cancer, it's possible that there's a second primary cancer that has metastasized to the subscapularis region.
  • Do Not Miss Diagnoses

    • Septic arthritis or osteomyelitis of the shoulder: These conditions can present with similar symptoms and would require prompt antibiotic treatment to prevent serious complications. The elevated inflammatory markers support this possibility.
    • Spinal cord compression or metastasis: Given the patient's history of breast cancer, spinal cord compression or metastasis to the spine is a possibility that could present with pain and swelling in the supraclavicular region. This is a medical emergency that requires immediate attention.
  • Rare Diagnoses

    • Soft tissue sarcoma: Although rare, a soft tissue sarcoma in the subscapularis region could present with similar symptoms and would be an important diagnosis to consider.
    • Rheumatologic disease (e.g., rheumatoid arthritis, polymyalgia rheumatica): These conditions can cause elevated inflammatory markers and musculoskeletal symptoms, but they would be less likely given the patient's history of cancer and the specific location of the symptoms.
    • Granulomatous disease (e.g., tuberculosis, sarcoidosis): These conditions can cause chronic inflammation and could potentially present with similar symptoms, although they would be less likely given the acute presentation and the patient's history.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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