Diagnosis and Management of Superficial Subcutaneous Soft Tissue Masses

Diagnostic Approach

• The American College of Chest Physicians guidelines suggest that MRI should be obtained if ultrasound findings are indeterminate 5
• For lesions with atypical features, such as irregular margins, solid components, vascularity, or deep extension, MRI and biopsy are recommended before surgical intervention 4

Management Algorithm

• If a simple cyst appearance is confirmed on ultrasound, reassurance is appropriate, with excision only if symptomatic 1