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Case Reports
. 2014 Jul 6:8:245.
doi: 10.1186/1752-1947-8-245.

Unusual case of recurrent thigh lump in a girl: a case report

Lasitha Samarakoon  1 , Tharanga Fernanado, Eshwari Liyanage, Himaru Wirithamulla, Kaluarachige Sunil Perera
Affiliations
Case Reports

Unusual case of recurrent thigh lump in a girl: a case report

Lasitha Samarakoon et al. J Med Case Rep. .

Abstract

Introduction: Lipofibromatosis is a rare fibro-fatty tumour with a predilection to involve distal extremities. It has only recently been described as a distinctive clinicopathologic entity, and subsequently only a few cases have been published in the literature. To address the clinicopathologic significance of this rare entity, we here describe a case of lipofibromatosis occurring on the left thigh of a Sri Lankan girl who developed a recurrence following excision.

Case presentation: A 15-year-old previously healthy girl of Sri Lankan ethnicity presented with a painless progressively enlarging mass in her left thigh. Magnetic resonance imaging of her thigh lump, revealed a septated mass arising from subcutaneous tissue of anterolateral and medial aspects of her thigh. Histological assessment revealed evidence of lipofibromatosis, and the lesion was excised followed by split-skin grafting. She presented again with a local recurrence at the same site.

Conclusions: Adequate surgical excision leads to complete cure of this benign lesion, but recurrences are common following incomplete excision. Therefore awareness among clinicians of this rare entity is vital in offering the best possible care to the patients.

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Figures

Figure 1
Figure 1
The patient presented with a painless progressively enlarging recurrent lump following excision on her left thigh, free of any deep attachments or neurovascular compromise.
Figure 2
Figure 2
Magnetic resonance imaging scan of the thigh showing thick septate mass arising from subcutaneous tissue of anterolateral and medial aspects of the thigh without any contrast enhancement-transverse section.
Figure 3
Figure 3
Magnetic resonance imaging of the thigh mass showing a sagittal section.
See this image and copyright information in PMC

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