Erythematous Mass Research Articles

Subcutaneous infiltrative mastocytoma in a dog – case report

Mast cell tumors are cutaneous neoplasms in dogs, characterized by tumors that appear as solitary nodules in the skin or subcutaneous tissue, varying in appearance from raised, erythematous masses to nodular eruptions or diffuse swellings. This report describes a case of infiltrative subcutaneous mast cell tumor in a 7-year-old female dog weighing 22.3 kg. The animal presented with two nodules, one in the left femur-tibia-patellar region (22x30 mm) and another in the right inguinal region (20 mm), both mobile, non-adherent, and firm in consistency. Following complementary exams (hemogram, ultrasonography, and cytology), surgical excision of the nodules and sentinel lymph nodes was performed. After histopathological diagnosis, chemotherapy treatment with vinblastine and prednisolone was initiated. The dog responded positively to treatment, without adverse reactions, and showed no recurrence or metastases in the subsequent four months of follow-up.

P-83 Primary thyroid lymphoma presented with hypercalcemia and rapidly growing neck mass

Abstract Introduction Primary thyroid lymphoma is an uncommon malignancy, accounting for 1% to 2% of extranodal lymphomas and 1% to 5% of thyroid malignancies. Large B-cell lymphoma is the most prevalent form of primary thyroid lymphoma. Here, we present a patient with hypercalcemia and a rapidly growing neck lesion who was diagnosed with diffuse large B-cell lymphoma of the thyroid gland. Clinical Case A 75-year-old patient presented to the emergency room with loss of appetite and decreased oral intake over the previous five days, as well as abdominal pain and inability to pass gas and feces. The nausea and vomiting symptoms began simultaneously with the abdominal discomfort. Inspection revealed a distinct, palpable, and erythematous mass in the patient's neck, which the patient reported developing within the previous three months. After noticing the growing mass and consulting her primary care physician, she was referred to an ENT specialist; a biopsy was conducted and the results were pending. Her preliminary laboratory results revealed hypercalcemia and renal failure with depressed parathyroid hormone levels. The following were the initial laboratory results: creatinine 2,14 mg/dL, Ca 13,5 mg/dL, Albumin: 4,2 g/dL, P 2,9 mg/dL, Mg:1 mg/dl, parathormone 11.6 ng/dL procalcitonin 0.04% ng/mL and hemoglobin 10.2% g/dl. Abdominal CT revealed a contracted gallbladder with stone formations in the lumen, but no other abnormalities. The patient was admitted to the internal medicine ward with an initial diagnosis of hypercalcemia and prerenal acute kidney failure as a result of decreased oral intake. The patient's hypercalcemia was determined to be PTH-independent, and malignancy was suspected due to a 4-month history of progressive neck lesion. The thyroid gland was 49×40×87mm in the right and 38×40×62mm in the left, and the isthmus was 50mm thick with lobulated outlines on contrast enhanced cervical MR. The signal intensity of parenchyma was heterogeneous. 18F-FDG PET/CT uncovered a bilateral, distinct increase in the size of the thyroid gland with protrusions to the hyoid bone in superior sequences. The solid mass was found to have diffusely increased FDG uptake and a hypermetabolic pattern, both of which are indicative of malignant characteristics. The lesions encompass the trachea and there are reports of invasion of the cricoid cartilage and thyroid cartilage. A second main malignant disease concern was raised when small intestine FDG uptake and wall thickening suggested malignancy. The patient was re-evaluated by the endocrinology clinic, and additional workup tests were ordered due to the suspicion of Riedel Struma, which was based on the control sedimentation rate of 93 mm/h and the firmness of the gland upon palpation. An open surgical biopsy was performed. The pathology report concluded that it is consistent with diffuse large B-cell lymphoma that is CD20-positive. The hematology department has scheduled chemotherapy treatment for the patient.

A Case Report on The Recognition of Granulomatous Mastitis and its Treatment

Granulomatous mastitis (GM) is a rare disease, the pathophysiology of which is not yet understood. It is a benign condition that commonly presents as a painful and erythematous mass. Due to its vague presentation, GM is often mistaken for breast abscess, cellulitis, and even breast cancer. It is definitively diagnosed through histopathological studies, as common imaging modalities are often non-revealing. Due to its rarity,there is not yet a clear management method for patientswith GM. This case report details the presentation of a patient with histopathological confirmed granulomatous mastitis and her response to high dose steroids as a treatment. There is a lack of studies regarding the management of GM and this case indicates that the use of steroids is a reasonable avenue for further investigation.

34159 Neutrophil-rich Wells syndrome treated with dupilumab

We present a diagnostically challenging case of an 85-year-old Caucasian woman with rapidly growing deep nodules coalescing into an erythematous indurated mass on the vertex scalp. She reported mild tenderness on palpation and occasional clear drainage over the past 3 months. She had no history of skin cancer, no recent weight loss, and denied any trauma, new medications, or recent travel. Her primary physician initiated griseofulvin and cephalexin for a presumed infection with no response and progressive worsening.

An Umbilical Mass in a Young Female

Question: A 38-year-old woman with a past medical history of invasive signet ring cell gastric adenocarcinoma, status post total gastrectomy, presented with a newly swollen and painful umbilical mass. She completed 6 cycles of adjuvant chemotherapy (FOLFOX) followed by radiotherapy, that has been stable on imaging for two years. On physical examination, it is an erythematous, firm, and tender umbilical mass that is not reducible on examination (Figure A).

Infected Branchial Cleft Cyst Due to Neisseria Meningitidis: An Unusual Presentation in a Pediatric Case

Meningococcal disease, which is caused by Neisseria meningitidis (N. meningitidis), may present clinically as meningococcemia, as meningitis, or with a mixed picture. A 3-year-old girl was admitted to our hospital with a tender, immobile, hard, hot and erythematous mass measuring 3x4 cm on the left anterior part of the neck. The patient was diagnosed with branchial cleft cyst in the left side of the neck and regularly followed by an otolaryngologist since 6-month-old. The abscess culture grew N. meningitidis. Serogroup determination identified nongroupable Neisseria meningitidis. Infected branchial cleft cyst associated with N. meningitidis has rarely been reported, and to our knowledge, this is the second case in the literature. This demonstrates the importance of microbiologic identification, which plays a major role in the management of the patient. It should be noted that N.meningitidis can present with unusual clinical manifestations affecting all systems of the body; which indicates the importance of vaccination in vaccine-preventable diseases.

Bartholin’s Abscess with Bacterial Vaginosis Coinfection Successfully Treated with a Modified Word Catheter and Combined Antibiotics

BACKGROUND: Bartholin’s abscess is an infection of the Bartholin gland that often occurs in women of childbearing age. The prevalence of Bartholin’s abscess is 2% in the female population worldwide. Patients often complain dyspareunia with a high recurrence rate. Bacterial Vaginosis (BV) is a syndrome of changes in the vaginal ecosystem that occurs spontaneously in sexually active women. BV can contribute to the development of a Bartholin’s gland abscess. CASE REPORT: A 30-year-old woman came with the chief complaint of a 5 cm × 5 cm erythematous, tender, and mobile mass on the right side of the labia majora. In addition, the patient also experienced recurrent vaginal discharge. The patient was diagnosed with Bartholin’s abscess with BV coinfection that was successfully treated with a modified word catheter and combination of antibiotics that showed no recurrence. CONCLUSION: Combination of modified word catheter and antibiotics can be a simple yet effective way in treating Bartholin’s abscess.

128 Rapidly Proliferative Pilomatrixoma On the Eyebrow of A 7-Year-Old Boy – A Case Report

Abstract Pilomatrixoma or calcifying epithelioma of Malherbe is a benign tumour originating from pluripotent precursors of hair matrix cells. We present a paediatric patient with a rapidly enlarging eyebrow mass with a differential diagnosis of sebaceous cyst, pyogenic granuloma, or malignancy. A 7-year-old boy presented in primary care with a 0.5cm non-inflammatory nodule on his medial brow present for 2-3 months. History of previous trauma was not elicited and there were no features of bleeding or ulceration. It was then lanced, following diagnosis of an infected sebaceous cyst. Within weeks, the nodule underwent rapid proliferation, enlarging to 2cm in diameter. He was urgently referred to secondary care pending further investigation for possible trauma-induced pyogenic granuloma or malignancy. Upon presentation in secondary care, we observed a protruding erythematous and ulcerated mass, indurated in texture and adherent to overlying skin. The patient was submitted to excisional biopsy with a vertical elliptical approach to minimise distortion of the brow. Small, calcified deposits were observed in the tumour substance. Histologically, basaloid basophilic cells were predominant and mixed with ghost cells and foci of giant multinucleate cells, verifying diagnosis of a pilomatrixoma. Pilomatrixoma exhibits tendency towards mimicry of lesions such as epidermoid, sebaceous, dermoid cyst, pyogenic granuloma or even keratoacanthoma with a pre-operative detection rate as low as 11%. With a bimodal age distribution, arising in the first and sixth decades of life, this case highlights a need for a high degree of suspicion in young patients with careful clinical examination in order to aid diagnosis and prompt appropriate treatment.

S1841 Colorectal Squamous Cell Carcinoma: An Usual Presentation of an Unusual Cancer

Introduction: Squamous cell carcinoma (SCC) is an extremely rare cause of colorectal malignancy and makes up to 0.025% of all colorectal malignancies. Clinically, it presents with similar signs and symptoms as colorectal adenocarcinoma. Due to the rarity of this pathology, there is limited information on optimal treatment and disease prognosis, making early identification with a diagnostic colonoscopy and biopsies essential. Here, we present a rare case of colorectal SCC in the hepatic flexure with local invasion to the gallbladder and liver in a patient with chronic abdominal discomfort. Case description/methods: A 54-year-old female with hypertension and diabetes mellitus presented to the clinic complaining of abdominal discomfort for one year. She denied hematochezia, melena, hematemesis, weight loss, and changes to her bowel habits. Abdominal examination demonstrated epigastric and right upper quadrant tenderness. Initial routine laboratory studies were unremarkable. Ultrasound of the abdomen showed a right hepatic lesion which was confirmed on follow up CT scan of the abdomen that demonstrated a 7.1 × 6.7 × 7.6 cm heterogeneous mass in the transverse colon, inseparable from the gallbladder and left hepatic lobe. A subsequent MRI of the abdomen demonstrated consistent findings. Analysis of tumor markers demonstrated elevated carcinoembryonic antigen at 69.4 ng/mL (reference range: ≤5.0 ng/mL). Whereas, alpha-fetoprotein and cancer antigen 19-9 were negative. The patient also tested negative for Hepatitis C, HIV, and HPV and was found to be non-immune to Hepatitis B. Considering a high suspicion for malignancy, a diagnostic colonoscopy was performed which revealed a 5 cm polypoid, partially circumferential, non-obstructing erythematous mass at the hepatic flexure (Figure 1). Immunohistochemical stains of the biopsies including CK7, P40, and KI-67 (50-60%) were found to be positive. The pathology of the hepatic flexure mass was consistent with squamous cell carcinoma. She successfully underwent surgical resection of the malignancy followed by chemotherapy treatment. Discussion: In conclusion, patients with colorectal SCC is extremely rare, but presents later in the disease process with a worse prognosis. Practicing clinicians should be aware of less common causes of colorectal malignancy as early identification with a diagnostic colonoscopy is essential. Due to the rarity of the case, extensive evaluation is needed to confirm the absence of primary disease anywhere else in the body.Figure 1.: Colonoscopy revealing a 5 cm polypoid mass at the hepatic flexure.

Bladder prolapse through a patent urachus presenting as an umbilical mass in the newborn: characteristic prenatal sonographic findings and the diagnostic benefit of postnatal cystography.

Bladder prolapse through a patent urachus is rare. We present a newborn with an unusual exophytic, erythematous umbilical mass. Voiding cystography readily demonstrated continuity of the bladder dome with the umbilical mass, confirming bladder prolapse through a patent urachus. The diagnosis of bladder prolapse was rapidly made in a second newborn with similar imaging and clinical findings and confirmed by cystography. We discuss the embryology of this condition including the association with a vesico-allantoic cyst in utero. Pre- and postnatal images are presented. The use of cystography in diagnosis is emphasized.

Neonatal Parotitis: A Case Report.

IntroductionAcute suppurative parotitis is a rare finding in the neonate. It is commonly caused by Staphylococcus aureus, but other bacterial isolates may be emerging. It is a novel disease for this age group and requires unique management. Only 32 cases of neonatal suppurative parotitis have been described in the English-language literature over the last 35 years.Case ReportWe describe a case of a 14-day-old male who presented to the pediatric emergency department with a 24-hour history of swelling and redness of the right cheek. On examining him, purulent material was seen inside his oral cavity. He was subsequently hospitalized with a diagnosis of neonatal suppurative parotitis and received five days of parenteral antibiotics with improvement in swelling and redness. He was discharged home with oral antibiotics.ConclusionAlthough neonatal suppurative parotitis is rare, it should be suspected in newborns presenting with an erythematous pre-auricular mass with or without any predisposing factors. We describe a rare case of acute suppurative parotitis in a neonate and review the published literature.

Lymphangioma of the dorso-lateral tongue in an adult male: A rare case report

Lymphangioma is a relatively uncommon benign tumour occurring due to malformation of the lymphatic vessels. Lymphangioma in adults is a rare occurrence. Intraoral lymphangiomas occur most frequently on the dorsal tongue and rarely on the palate, buccal mucosa, gingiva and lips. Clinically, lymphangiomas of the oral cavity usually have a plaque formed of small thin-walled vesicles and similar in surface to frog eggs. We present a case of lymphangioma of the tongue in a 34-year-old male who presented with complaints of painless swelling in his tongue with difficulty in speaking for the last 25 days. CT scan revealed a lobulated sharp-contoured soft tissue communicating with the superficial planes with minimum vascularity in colour doppler studies. En masse excision of the firm, solid erythematous mass was performed which microscopically showed multiple dilated endothelial lined vessels filled with a proteinaceous fluid and lymphocytes. A diagnosis of lymphangioma of the tongue was given.

S1988 Trio of Multiple Primary Neoplasms

INTRODUCTION: Mycosis fungoides (MF) is the most common subtype of cutaneous T-cell lymphoma (CTCL).Patients with MF have a higher risk of developing multiple primary neoplasms (MPNs); which are defined as malignancies arising in different sites and of different histological origins. Gastrointestinal tract has rarely been implicated as the site of these malignancies. We present a unique case of a patient diagnosed with three synchronous malignancies detected during one hospitalization, in the setting of mycosis fungoides. CASE DESCRIPTION/METHODS: A 71-year-old male with a history significant for mycosis fungoides and male breast cancer status-post mastectomy presented with complaints of increasing dyspnea, dysphagia to solid foods, melanotic stools and a 30 pound weight loss. Labs were significant for leukocytosis of 17.0 × 109/L and normocytic anemia of 6.4 g/dl. A CT angiogram obtained to rule out pulmonary embolism revealed bulky lymphadenopathy throughout the chest. Esophagogastroduodenoscopy (EGD) performed showed a large friable mass seen at the gastroesophageal junction (GEJ) and two large pedunculated masses in the mid-esophagus. Biopsies of the GEJ mass indicated gastric adenocarcinoma and biopsies of the esophageal masses were consistent with squamous cell carcinoma. Concomitantly, flow cytometry of the blood confirmed small lymphocytic lymphoma (SLL). The patient unfortunately succumbed to septic shock secondary to multifocal pneumonia and complete staging was deferred. DISCUSSION: There appears to be limited information connecting mycosis fungoides to gastrointestinal malignancies in the United States. There are no documented cases or syndromes linking squamous cell esophageal carcinoma, gastric adenocarcinoma and SLL. However, in one retrospective Korean study an association was noted between MF and gastrointestinal malignancies, primarily colorectal and gastric. Though environmental exposures, immune or hereditary predispositions may have played a role in the pathogenesis of these MPNs; knowing MF carries a 10% risk of a second malignancy warrants routine screening and extensive evaluation for the coexistence of gastrointestinal MPNs. This is due to a likely unreported or underestimated relationship caused a delay in diagnosis. This case emphasizes the connection between extracutaneous malignancies of the gastrointestinal system and mycosis fungoides.Figure 1.: Two, large pedunculated mid-esophageal masses with significant friability and ulceration causing near obstruction with biopsies showing squamous cell carcinoma.Figure 2.: Large erythematous, friable and ulcerated mass extending from the gastroesophageal junction to the cardia of the stomach with biopsies showing adenocarcinoma.

Comparison of Outcome of Closed and Open Drainage of Breast Abscess

Breast abscess is an acute inflammatory process resulting in the formation and collection of pus under the skin in breast tissue. Typically, there is painful erythematous mass formation in the breast occasionally with draining through the overlying skin of nipple duct opening. Breast abscess if not treated in time and in proper way, can result in deformation of breast which ultimately can result in loss of self-esteem of the female who suffers from abscess. To compare outcome of closed and open drainage of breast abscess. Breast abscess if not treated in time and in proper way, can result in deformation of breast which ultimately can result in loss of self-esteem of the female who suffers from abscess. As the condition occurs in young women, scar is a major concern in comparison the approach of closed drainage which leaves behind a better scar, breast feeding is started very early and breast ragains it suppleness very fast. Furthermore Post operative pain, Scar formation, Residual abscess, time for complete healing is better with closed drainage of breast abscess.

AGGRESSIVE BEHAVIOR AND PUZZLING MANAGEMENT OF MULTIPLE BROWN TUMORS RELATED TO PRIMARY HYPERPARATHYROIDISM

A 16-year-old female patient complaining of a maxillary mass with 6-month duration, causing asymmetry, spontaneous bleeding, and feeding difficulty presented at intraoral examination a large erythematous and ulcerated pedunculated mass arising from the expanded maxilla. The anterior mandible was also enlarged but covered by normal oral mucosa. Anamnesis included primary hyperparathyroidism with parathyroidectomy in the past 6 months. Panoramic x-ray showed a radiolucent and mixed area in the maxilla and anterior mandible associated with tooth displacement and resorption. Incisional biopsy of the pedunculated mass in maxilla was performed to improve the patient´s quality of life, and histologic examination revealed a proliferation of ovoid to fusiform cells accompanied by numerous multinucleated giant cells, confirming the hypothesis of central giant cell granuloma, precisely, brown tumor. Brown tumors rarely involve maxilla and can behave aggressively, and the excision of parathyroid lesions results in controlled serum levels leading to a gradual decrease in the maxillary tumors.

Giant Sacrococcygeal Teratoma in Neonate: A Case Report and Review of Literature

AbstractSacrococcygeal teratoma is considered the most common tumor in the neonatal period with a female-to-male ratio of 3–4:1. They are believed to arise early in gestation from the totipotential cells of Hensen’s node and the derived ectoderm, mesoderm, and endoderm. A 2.25 kg cesarean-delivered male, term neonate presented with large nonpulsatile, globular erythematous mass with lobulated surface and variable consistency. Magnetic resonance imaging of the lumbosacral spine showed multilocular cystic and solid lesion with foci of calcification and subtle communication with spinal canal. Histopathological examination showed mature endodermal, ectodermal, and mesenchymal elements such as cartilage, glial tissues, keratin cyst, and glandular elements with focus of primary neuroepithelial and pancreatic elements. Entire tumor was excised. The baby expired secondary to wound infection. Early diagnosis by improving antenatal care with timely surgical intervention and good nursing care improves the outcome.

Lactational phlegmon: A distinct clinical entity affecting breastfeeding women within the mastitis-abscess spectrum.

We aimed to describe the presentation and treatment of lactational phlegmon, a unique complication of mastitis in breastfeeding women that may require surgical management. We retrospectively analyzed medical charts of breastfeeding women treated by a single breast surgeon for lactational phlegmon or the related conditions of abscess or uncomplicated mastitis (UM) from July 2016 to October 2018. Demographic variables and treatment details were analyzed using ANOVA and Pearson's Chi-square test. Ten women with lactational phlegmon (19.2%), 15 women with abscess (28.8%), and 27 women with UM (51.9%) were identified. Phlegmon presented as a tender, erythematous, and nonfluctuant mass in a ductal distribution. Ultrasonography demonstrated an ill-defined, complex fluid collection. Epidemiologically, women with phlegmon were similar to patients with abscess and UM. Women with phlegmon reported more intense deep breast massage than patients in the other two groups, but significantly lower rates of breast pump use than women with abscess (30.0% vs 80.0%, P<.05). Relative to women with UM, patients with complicated mastitis (CM, defined as phlegmon or abscess) reported greater utilization of nipple shields (36.0% vs 11.1%, P<.05). Treatment of phlegmon entailed effective milk removal, antibiotics (range 10-30days), and close follow-up until both clinical and radiographic resolution (range 8days to >3months), with biopsy of persistent masses. Antibiotic duration was significantly longer for patients with phlegmon compared to those with UM (mean 15.0days vs 9.7days, P<.05). Two phlegmons coalesced into abscesses within 1week of diagnosis. Lactational phlegmon is a complication of mastitis in breastfeeding women that is distinct from abscess and UM. Optimal treatment consists of an extended course of antibiotics and close follow-up to monitor for coalescence into a drainable fluid collection and/or persistence of mass requiring biopsy.

Visual Diagnosis: Large Mass with Ulceration over the Right Shoulder

1. Vanessa Amaral, MD* 2. Joyce Tong, MD* 3. Kam Ching Chow, MD* 4. Jorge Sales Marques, MD* 1. *Paediatrics Department, Centro Hospitalar Conde Sao Januario, Macau, China A 4-month-old girl is referred to pediatric hematology outpatient services with an ulcerated erythematous mass over the right shoulder (Fig 1). A 2-mm macule was noted at 1 week of age, which has gradually increased in size, deepened in color, and protruded from the surface of the skin since 3 weeks of age. This lesion enlarged, developed central ulceration, and began oozing at 3 months of age. The patient is the older of twins born prematurely at 36 weeks and 4 days of gestation via cesarean delivery. Birth weight was 2,600 g. There is no significant medical or family history. Figure 1. Infantile hemangioma with ulceration over the right shoulder. A physical examination reveals a well-appearing infant with an ill-defined, large, erythematous mass measuring 10 × 8 × 5 cm over the right shoulder superimposed with oozing from a central ulceration of 3 × 3.5 × 1 cm. No significant pulsation, bruits, or thrills are noted. On palpation the shoulder mass is firm, not movable or compressible. Ultrasonography of the lesion confirms the diagnosis. The diagnosis of infantile hemangioma (IH) is made based on clinical presentation, characteristic evolution, and physical examination findings. The diagnosis is subsequently supported by ultrasonography, which reveals a heterogeneous, hyperechogenic, 9 × 8.5 × 5-cm mass with considerable blood flow. IHs are common, benign vascular tumors affecting approximately 4% to 10% of infants and up to 30% of premature babies. IH occurs 4 times more frequently in females than in males. Studies have found that female sex, prematurity, low birth weight, multiple gestation, advanced maternal age, and white race are risk factors for the development …

Delayed Uterine Inversion [16I

INTRODUCTION: Uterine inversion is a rare obstetric emergency that typically presents immediately following the third stage of labor with hemorrhage, shock, and possible maternal death if not promptly diagnosed and treated. We report a rare delayed postpartum uterine inversion. METHODS: 28-year-old gravida 1 para 0 with an uncomplicated antenatal course and normal labor curve, delivered a full term infant via vacuum assisted vaginal delivery. The placenta was delivered spontaneously. Five weeks postpartum, the patient presented with ongoing vaginal bleeding. An erythematous friable mass filling her vagina. A pelvic ultrasound noted that the suspected pelvic hematoma measured 7.3 x 5.3 x 5.2 cm. The suspected hematoma was managed conservatively. Three months postpartum, due to acutely increasing vaginal bleeding, an exam under anesthesia was performed. Uterine inversion was diagnosed, with attempted uterine replacement unsuccessful. A total abdominal hysterectomy was then performed without postoperative complication. CONCLUSION: Delayed postpartum uterine inversion may present with persistent vaginal bleeding and an erythematous friable mass protruding through the cervix into the vagina. Given the risk of acute hemorrhage, uterine replacement should be attempted soon following the diagnosis of delayed postpartum uterine inversion, with hysterectomy if unsuccessful.

Tuberculoma with phlegmon-like symptoms mimicking soft tissue sarcoma in the wrist: A case report.

Despite the increasing incidence of tuberculosis, even in developed countries like Japan, tuberculoma is a relatively uncommon disease. Furthermore, given the rarity of tuberculoma, a definitive diagnosis is often delayed. We herein present the case of a 79-year-old man who presented with an erythematous and warm mass in the left forearm. Radiography revealed calcification of the wrist's volar side, and magnetic resonance imaging revealed a mosaic pattern at the lesion. Soft tissue sarcoma of the wrist was suspected, and an incisional biopsy was performed, which revealed numerous yellow rice bodies. A rapid pathological evaluation revealed caseous necrosis and Langhans giant cells, and a histological evaluation confirmed the diagnosis of tuberculoma. All the rice bodies were resected and the patient received postoperative antibiotic treatment with pyrazinamide, isoniazid, rifampicin and ethambutol. However, the patient developed hepatic insufficiency during treatment, and the regimen was discontinued. The patient had not experienced recurrence 1 year after the treatment. In conclusion, tuberculoma should be considered in the differential diagnosis of a wrist mass mimicking an inflamed soft tissue tumor.