Femoral soft tissue tumour - dermatofibrosarcoma

Case contributed by Dr Saeed Soltany Hosn

Presentation

long standing swelling in the right thigh presented with acute leg pain due to popliteal vein thrombusis

Patient Data

Age: 75
Gender: Female

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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Case information

rID: 20672
Case created: 6th Dec 2012
Last edited: 3rd Feb 2018
Inclusion in quiz mode: Included

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