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Giant Subcutaneous Tumors on the Thighs—Quiz Case

Giant Subcutaneous Tumors on the Thighs—Quiz Case Report of a case A 32-year-old morbidly obese man (316 kg, body mass index, 102.7 [calculated as weight in kilograms divided by height in meters squared]) with no medical history presented with a 2-year history of 2 progressively enlarging tumors on his bilateral thighs. These tumors were asymptomatic, but they greatly interfered with ambulation. Physical examination revealed 2 pedunculated, oblong, soft, nontender subcutaneous tumors (Figure 1). The tumors grew from the distal right and proximal left thighs and measured 30 × 4 × 5 cm and 102 × 30 × 50 cm, respectively. The overlying skin was extremely edematous with several shallow pressure ulcerations. Focal lichenification and erythema were present on the larger tumor, reflecting chronic rubbing on the ground while walking. An intraoperative incisional biopsy specimen of the larger tumor was sent for histologic examination (Figure 2 and Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Ultrasonography demonstrated fatty tissue, edema, and minimal flow throughout the tumors. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Giant Subcutaneous Tumors on the Thighs—Quiz Case

Giant Subcutaneous Tumors on the Thighs—Quiz Case

Abstract

Report of a case A 32-year-old morbidly obese man (316 kg, body mass index, 102.7 [calculated as weight in kilograms divided by height in meters squared]) with no medical history presented with a 2-year history of 2 progressively enlarging tumors on his bilateral thighs. These tumors were asymptomatic, but they greatly interfered with ambulation. Physical examination revealed 2 pedunculated, oblong, soft, nontender subcutaneous tumors (Figure 1). The tumors grew from the distal right and...
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Publisher
American Medical Association
Copyright
Copyright © 2008 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.144.6.795-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 32-year-old morbidly obese man (316 kg, body mass index, 102.7 [calculated as weight in kilograms divided by height in meters squared]) with no medical history presented with a 2-year history of 2 progressively enlarging tumors on his bilateral thighs. These tumors were asymptomatic, but they greatly interfered with ambulation. Physical examination revealed 2 pedunculated, oblong, soft, nontender subcutaneous tumors (Figure 1). The tumors grew from the distal right and proximal left thighs and measured 30 × 4 × 5 cm and 102 × 30 × 50 cm, respectively. The overlying skin was extremely edematous with several shallow pressure ulcerations. Focal lichenification and erythema were present on the larger tumor, reflecting chronic rubbing on the ground while walking. An intraoperative incisional biopsy specimen of the larger tumor was sent for histologic examination (Figure 2 and Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Ultrasonography demonstrated fatty tissue, edema, and minimal flow throughout the tumors.

Journal

Archives of DermatologyAmerican Medical Association

Published: Jun 1, 2008

Keywords: thigh,neoplasms

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