Presentation
long standing swelling in the right thigh presented with acute leg pain due to popliteal vein thrombusis
Patient Data
see below
CT scan shows a well defined large heterogeneous soft tissue mass in the anteromedial compartment of the right thigh without evidence of calcification or periosteal reaction. There is erosion of the right pubic bone and anterior portion of the right acetabulum. The mass density is slightly lower than that of muscle. There is also an epigastric hernia.
Case Discussion
Malignant fibrous histiocytoma, desmoid tumor, high-grade liposarcoma and synovial sarcoma should be considered in the differential diagnosis of a large soft tissue tumor like this.
Biopsy performed with ultrasound guidance.
Path proven dermatofibrosarcoma.
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