Wells Matthew E, Qiao Jesse, Decker Katelyn E, Parnes Nata, Rajani Rajiv, Eckhoff Michael
Department of Orthopedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
Department of Pathology, University of California Irvine, Irvine, USA.
Cureus. 2023 Sep 7;15(9):e44822. doi: 10.7759/cureus.44822. eCollection 2023 Sep.
A 27-year-old male with insidious right arm swelling was diagnosed with a hematoma secondary to a partial biceps tear, later identified as a rhabdomyosarcoma. Soft tissue sarcomas (STS) may present with misleading patient histories and nonspecific symptoms, resulting in misdiagnosis and delayed treatment. One of the classic masqueraders of soft tissue sarcomas is hematomas secondary to trauma. Obtaining a prudent history with careful scrutiny of appropriate imaging often helps establish the correct diagnosis. Ultimately, tissue biopsy can resolve any ambiguous cases and prevent delays in diagnosis and treatment.
一名27岁男性，右臂隐匿性肿胀，最初被诊断为肱二头肌部分撕裂继发血肿，后来确诊为横纹肌肉瘤。软组织肉瘤（STS）可能伴有误导性的病史和非特异性症状，从而导致误诊和治疗延误。软组织肉瘤典型的伪装之一是创伤继发血肿。谨慎询问病史并仔细审查适当的影像学检查通常有助于做出正确诊断。最终，组织活检可以解决任何疑难病例，避免诊断和治疗的延误。
