CASE 303: INGUINAL SCARPA TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC,

VIETNAM

Woman 61 yo detected at right inguinal scarpa a small tumor slowly growth, no painful, size of arround as one egg.Clinical palpation was subcutaneous.hard nodule, fixed to deep layer. Ultrasound scanned it was a round mass , size of 5 cmdiameter well bordered, inside structure was solid inhomogeneous ( US picture 1).

Doppler scanning detected hypervascular with hilus, vascular supplying of a lymph node (US2), and Doppler spectrum of hilar artery was pulsatile, V1= 52 cm/s and RI=0.6.

Elastography was a soft mass, inhomogeneous structure.

Sonologist cannot find another abnormal lymph node at another side, and report suspected inflammation lymph node. Blood tests : WBC, CRP, beta2 microglubulin were normal. What is your diagnostic suggestion for the case?