Sunday, August 06, 2006

Swelling on the foot


56 y, white gentleman, working as a mechanic for the MTA, comes in for slowly progressive asymptomatic swelling on the dorsum of his Right foot, over the past few years. He does not recollect any trauma.
Exam shows a 4-5 cm, non- inflamed, firm swelling, with very limited mobility and with definite transillumination, on the dorsum of the foot along the lateral aspect.

What is the most likely diagnosis based on the available information?

1. Bible cyst- ANSWER.
2. Lipoma
3. Neuroma
4. Epidermoid cyst
5. Surfer’s nodules