THE DIFFERENTIAL diagnosis of an axillary mass as Langers Arch is sufficiently uncommon to warrant recording such a case.
Report of a Case
A 10-year-old boy was admitted to the hospital for diagnosis and treatment of a right axillary mass which was first noted by his mother several weeks before. The mass was asymptomatic: both mother and son were certain that it had not been present previously. Examination revealed a definite fullness of the right axilla which was not present on the left. This mass, quite firm in consistency, was most prominent when the arm was abducted to 90 degrees: it seemed to disappear when the arm was brought down to the side. Physical examination was otherwise negative. Chest x-ray, blood, and urine studies were noncontributory. Because of the obscure nature of the mass and the anxiety of the parents, exploration of the riuht axilla was done. The exploration was
Saitta GF, Baum V. Langer's Axillary Arch: An Unusual Cause of Axillary Mass. JAMA. 1962;180(8):690. doi:10.1001/jama.1962.03050210052017
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