Subclavicular Lipoma in a 42-Year-Old Male

Case at a Glance

A 42-year-old healthy male presents with a newly discovered soft, mobile, non-tender subclavicular mass that developed over several days without associated symptoms or trauma history.

Patient's Story

The patient noticed a lump on his shoulder that appeared over a few days. He denied any pain, systemic symptoms, or recent trauma to the area. The mass was soft, mobile, and occasionally mildly pruritic, which he attributed to frequent palpation. Despite the presence of the lump, he maintained his regular activities including dancing and gym workouts without discomfort. He had no significant medical history and was not taking any medications.

Initial Assessment

Physical examination revealed a soft, mobile subcutaneous mass located inferior to the clavicle. The overlying skin appeared normal with no signs of inflammation, erythema, or warmth. The mass was non-tender to palpation and freely movable beneath the skin. No lymphadenopathy was noted, and the patient appeared well with stable vital signs.

The Diagnostic Journey

Given the clinical presentation of a soft, mobile, subcutaneous mass without associated symptoms, the differential diagnosis included lipoma, sebaceous cyst, or other benign soft tissue tumors. The characteristics of the mass - its soft consistency, mobility, and lack of adherence to underlying structures - were most consistent with a lipoma.

Final Diagnosis

Subcutaneous lipoma of the subclavicular region

Treatment Plan

The patient was referred to a plastic surgeon for surgical evaluation and removal of the lipoma. Given the benign nature of lipomas and the patient's desire for removal, surgical excision was recommended as the definitive treatment.

Outcome and Follow-up

The patient was successfully referred to plastic surgery for planned excision of the lipoma. No immediate complications were noted, and the patient was reassured about the benign nature of the condition.