BENIGN SOFT TISSUE TUMOURS

Question 1

B-Benign Soft Tissue Tumours

Answer 1

can involve any of the non‐bony connective tissues, nerves or vessels.

Question 2

B-Most common benign soft tissue tumour

Answer 2

lipoma (a neoplastic proliferation of fat) which usually occurs in the subcutaneous fat but can occur in muscle. Subcutaneous lipomas can be large and may not be particularly well defined but their location and consistency points to their diagnosis.

Question 3

B-Features suggestive of a benign soft tissue neoplasm (5()

Answer 3

smaller size
fluctuation in size (malignant tumours don’t regress in size)
cystic lesions
well‐defined lesions
fluid filled lesions and soft / fatty lesions

Question 4

soft tissue swelling

Answer 4

present to orthopaedics if situated on an arm or leg.

may be diffuse (as in synovitis or oedema) or local.

local swellings include
-inflammatory swellings (bursitis, rheumatoid nosules)
- infection (abscess)
-cystic lesions (ganglion, meniscal cyst, Baker’s cyst)
- benign neoplasms and malignant neoplasms.

Question 5

findings to look for in an exam (11)

Answer 5

Site
Size
Definition – well defined or ill defined
Consistency – cystic, solid, soft, hard
Surface – smooth or irregular
Mobility or Fixity – to skin or deep tissues
Temperature – abscess
Transilluminable – fluid filled
Pulsatility
Overlying skin changes
Local lymphadenopathy