Skip to content
Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Tumour vs muscle hemorrhage

Sonopath Forum

Tumour vs muscle hemorrhage

– 7 yr old FS Lab presented w 5 wk history of bruising and a swelling in inner L thigh
– o thought this was an injury and would go away on its own
– blood work: low platelet count (9), moderate anemia, 4 Dx -ve, biochem bilirubin only 1 point above normal
– abd. u/s nsf; this is u/s of the mass and what I think is the enlarged local LN; low colour flow in the mass itself

– 7 yr old FS Lab presented w 5 wk history of bruising and a swelling in inner L thigh
– o thought this was an injury and would go away on its own
– blood work: low platelet count (9), moderate anemia, 4 Dx -ve, biochem bilirubin only 1 point above normal
– abd. u/s nsf; this is u/s of the mass and what I think is the enlarged local LN; low colour flow in the mass itself
– does this look like a tumour or muscle hemorrhage?

Comments

EL

Looks like tumor to me as

Looks like tumor to me as there is more organization and well defined feeder vessel than a hematoma would have and little inflammation. 22 or 20g fna is what I would do. i pinged Nele on this as she has more experience than I though.

N_ondreka

I absolutely agree with tumor

I absolutely agree with tumor until proven otherwise. Very solid in appearance with disrupted echarchitecture, internal vasculaization, mass effect…. looks not a bit like hematoma/hemorrhage unfortunately. Also the LN presents malignancy criteria with increased short-over-loong axis ratio, decreased echogenicity….

I’d FNA both and would not believe in any other diagnosis than neoplasia. Hemangio likes to do that among others btw…

Pankatz

Thank-you Dr. Ondreka –
Thank-you Dr. Ondreka – waiting on histopath.

Pankatz

Thank-you Dr. Ondreka –
Thank-you Dr. Ondreka – waiting on histopath.