Differential Diagnosis
- Single most likely diagnosis
- Lipoma: The mass is described as an ovoid shaped heterogeneous mass, which is consistent with the typical appearance of a lipoma. The size and location of the mass also support this diagnosis.
- Other Likely diagnoses
- Hemangioma: Although less likely than lipoma, hemangiomas can also present as heterogeneous masses and may be considered in the differential diagnosis.
- Neurofibroma: This is a type of benign nerve sheath tumor that can present as a heterogeneous mass, although it is less common than lipoma.
- Fibroma: A benign tumor of fibrous tissue, which can also present as a heterogeneous mass.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Soft tissue sarcoma: Although rare, soft tissue sarcomas can present as heterogeneous masses and are potentially life-threatening if not diagnosed and treated promptly.
- Metastatic disease: In rare cases, a metastatic lesion can present as a heterogeneous mass, and it is essential to consider this possibility, especially in patients with a history of cancer.
- Lymphoma: Although the lymph node is described as small, it is still essential to consider lymphoma in the differential diagnosis, as it can be life-threatening if not diagnosed and treated promptly.
- Rare diagnoses
- Schwannoma: A rare type of benign nerve sheath tumor that can present as a heterogeneous mass.
- Myxoma: A rare type of benign tumor that can present as a heterogeneous mass.
- Liposarcoma: A rare type of malignant tumor that can present as a heterogeneous mass, although it is much less common than lipoma.