Case 23: Lumps under the arm
A 59 year old man presents with a painless mass under the left arm. This was first noticed 6 weeks ago and is increasing in size.
1. What is the differential diagnosis?
Painless significantly enlarged nodes should raise the suspicion of lymphoma.Others:
Infections : acute - local causes, systemic illnesses
bacterial - gonorrhoea
viral - IM, CMV, measels, rubella, chickenpox
Chronic - HIV, TB, syphilis, fungi
Neoplasms : primary - Hodgkin's disease, non-Hodgkin's, leukaemias
Secondary : metastasis
Sarcoidosis
Allergy