15.4.25

A 60 years old man presented with a slowly growing mass in the right side of upper chest and towards the axilla for the last 5 months. On examination it was irregular and hard to palpation; USG showed it to be 118x57x19 mm in dimensions along with a few lymph nodes in axilla, largest being 42×18 mm. FNAC showed cutaneous lymphoid hyperplasia with axillary lymph nodes being reactive. The whole mass was excised along along with some enlarged lymph nodes. Biopsy revealed a rare type of diagnosis – follicular lymphoma which was found to be very rare to occur isolated in the chest wall.