ABSTRACT
History A 35-year-old man who is otherwise fit and well with no previous medical history attends his general practitioner (GP) with an 18-month history of a soft swelling over his lumbar spine. The lump has not changed in size over the last year. He has noticed it incidentally and it has not been uncomfortable. No other lumps have been noted. He is concerned regarding its aesthetic appearance and wants to get it checked.
