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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lumps On The Upper Arm And Abdominal Wall?

FNAC from 3.     Lump in right upper arm 4.     Lump right side posterior abdominal wall 5.     Lump right side anterior abdominal wall All the above mentioned sites were aspirated. All seemed fibrotic with sparse aspirate. Microscopic examination: 1. FNA smears from the right upper arm show an eosinophilic granular fluid in the background with sparse cellularity. Occasional fragments resembling a parasitic wall are seen along with few mixed inflammatory cells including a single multinucleate giant cell. and structures suspicious of hooklets. Skeletal tissue fragments are also seen. 2. Smears from right posterior abdominal wall show scanty cellularity with few macrophages, occasional inflammatory cells and scattered structures resembling hooklets. ~ ,      Many crystal like structures and some cholesterol clefts are also seen. 3. Smears from right side anterior abdominal wall show predominantly hemorrhage with an occasional multinucleate giant cell and a stromal fragment with entrapped plump spindle nuclei. IMPRESSION: FNA smears from soft tissue lumps in right upper arm, right side posterior abdominal wall and right side anterior abdominal wall are suggestive of a fibrotic chronic inflammatory lesion, with suspicion of an organized/ healed parasitic cyst. what does this means and what next to do
Thu, 12 Nov 2015
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General Surgeon 's  Response
Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-mostly from -Cystic subcut or intramuscular Lumps caused from -Cysticerciasis from Taenia Solium,could occur from uncooked/semicooked-pork eating.
This HPR reports suggests such a tumor / lumps which are non-cancerous and are due to Worm larvea of T .Solium as the hooklets are only in T.Solium.Other such cyst-called Hydatid Cysts could occur in lungs / liver and need to be investigated by CT and MRI.

Hope this reply would help you to plan further treatment with your doctors.
Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you.
Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS
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What Causes Lumps On The Upper Arm And Abdominal Wall?

Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-mostly from -Cystic subcut or intramuscular Lumps caused from -Cysticerciasis from Taenia Solium,could occur from uncooked/semicooked-pork eating. This HPR reports suggests such a tumor / lumps which are non-cancerous and are due to Worm larvea of T .Solium as the hooklets are only in T.Solium.Other such cyst-called Hydatid Cysts could occur in lungs / liver and need to be investigated by CT and MRI. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS