PMC5928027_01
Pre-operative image of the swelling.
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On examination, the swelling measured 12 cm x 10 cm, extending to the lateral border of the right scapula posteriorly, to the chest wall medially, to the apex of the axilla superiorly and to the 6th intercostal space inferiorly (Fig. 1).
Pre-operative image of the swelling showing vascularity.
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Dilated blood vessels were present over the surface of the swelling (Fig. 2).
Chest X-Ray showing no osteolytic lesions.
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Chest X-ray was normal and showed no osteolytic lesions of the right ribs or scapula (Fig. 3).
MRI showing an irregular mass in the musculo-subcutaneous plane.
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This mass was attached to the lateral border of scapula (Fig. 4) and displaced the subscapularis anteriorly.
MRI showing an irregular mass displacing infraspinatus, teres minor, and teres major muscles posteriorly. Multiple, scattered areas of hemorrhage noted within.
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The infraspinatus, teres minor and teres major muscles were displaced posteriorly (Fig. 5).
Magnetic Resonance Angiogram showing feeders.
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Intra-operative image of the tumour.
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Patient underwent Wide Local Excision under General Anesthesia (Fig. 7).
Post-operative image of the specimen after wide local excision.
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The tumour was completely excised (Fig. 8) and sent for histopathology.