Pseudosarcoma of the thigh

A rare case of massive localized lymphedema

Arash Bahrami, Joseph Edward Ronaghan, Albert Yurvati

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Massive localized lymphedema, also called pseudosarcoma, is a rare condition associated with morbid obesity. Accurate identification of this entity helps the physician make the distinction between this condition and other soft tissue tumors, especially with the increasing rate of obesity worldwide. Obesity and increased caloric intake lead to storage of the excess energy in the form of adipose tissue. The excess adipose tissue disturbs the lymphatic vessels, leading to massive edema localized mostly in the lower extremity, reaching a substantial size and weight that interferes with the quality of life of the individual in question. The mass can cause cosmetic but more importantly functional and structural defects, leading to altered biomechanics with increased risk of deep vein thromboembolism. Below is a presentation of a patient presenting with complaint of a massive medial thigh mass. After much investigation, consultation, and use of diagnostic radiologic modalities it was diagnosed as what is referred to in the literature as massive localized lymphedema, or pseudosarcoma. This mass was managed by surgical excision and the diagnosis was further confirmed by pathologic analysis. After the excision, our patient regained his ability to ambulate on his own, with the help of a rehabilitation program and physical therapy. Massive localized lymphedema needs to be on the differential diagnosis of any morbidly obese patient presenting with mass, especially in the lower extremities. Adequate knowledge about this condition enables the physician to make the distinction between pseudosarcoma and true soft tissue sarcomas.

Original languageEnglish
Pages (from-to)461-465
Number of pages5
JournalInternational Surgery
Volume100
Issue number3
DOIs
StatePublished - 1 Mar 2015

Fingerprint

Lymphedema
Thigh
Adipose Tissue
Lower Extremity
Obesity
Physicians
Lymphatic Vessels
Morbid Obesity
Thromboembolism
Energy Intake
Biomechanical Phenomena
Cosmetics
Sarcoma
Veins
Edema
Differential Diagnosis
Referral and Consultation
Rehabilitation
Quality of Life
Weights and Measures

Keywords

  • Benign tumor
  • Lymphatics
  • Massive localized lymphedema
  • Obesity
  • Pseudosarcoma

Cite this

Bahrami, Arash ; Ronaghan, Joseph Edward ; Yurvati, Albert. / Pseudosarcoma of the thigh : A rare case of massive localized lymphedema. In: International Surgery. 2015 ; Vol. 100, No. 3. pp. 461-465.
@article{7c8bd0e454e84bcbaa5658eb33af87a5,
title = "Pseudosarcoma of the thigh: A rare case of massive localized lymphedema",
abstract = "Massive localized lymphedema, also called pseudosarcoma, is a rare condition associated with morbid obesity. Accurate identification of this entity helps the physician make the distinction between this condition and other soft tissue tumors, especially with the increasing rate of obesity worldwide. Obesity and increased caloric intake lead to storage of the excess energy in the form of adipose tissue. The excess adipose tissue disturbs the lymphatic vessels, leading to massive edema localized mostly in the lower extremity, reaching a substantial size and weight that interferes with the quality of life of the individual in question. The mass can cause cosmetic but more importantly functional and structural defects, leading to altered biomechanics with increased risk of deep vein thromboembolism. Below is a presentation of a patient presenting with complaint of a massive medial thigh mass. After much investigation, consultation, and use of diagnostic radiologic modalities it was diagnosed as what is referred to in the literature as massive localized lymphedema, or pseudosarcoma. This mass was managed by surgical excision and the diagnosis was further confirmed by pathologic analysis. After the excision, our patient regained his ability to ambulate on his own, with the help of a rehabilitation program and physical therapy. Massive localized lymphedema needs to be on the differential diagnosis of any morbidly obese patient presenting with mass, especially in the lower extremities. Adequate knowledge about this condition enables the physician to make the distinction between pseudosarcoma and true soft tissue sarcomas.",
keywords = "Benign tumor, Lymphatics, Massive localized lymphedema, Obesity, Pseudosarcoma",
author = "Arash Bahrami and Ronaghan, {Joseph Edward} and Albert Yurvati",
year = "2015",
month = "3",
day = "1",
doi = "10.9738/INTSURG-D-14-00077.1",
language = "English",
volume = "100",
pages = "461--465",
journal = "International Surgery",
issn = "0020-8868",
publisher = "International College of Surgeons",
number = "3",

}

Pseudosarcoma of the thigh : A rare case of massive localized lymphedema. / Bahrami, Arash; Ronaghan, Joseph Edward; Yurvati, Albert.

In: International Surgery, Vol. 100, No. 3, 01.03.2015, p. 461-465.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Pseudosarcoma of the thigh

T2 - A rare case of massive localized lymphedema

AU - Bahrami, Arash

AU - Ronaghan, Joseph Edward

AU - Yurvati, Albert

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Massive localized lymphedema, also called pseudosarcoma, is a rare condition associated with morbid obesity. Accurate identification of this entity helps the physician make the distinction between this condition and other soft tissue tumors, especially with the increasing rate of obesity worldwide. Obesity and increased caloric intake lead to storage of the excess energy in the form of adipose tissue. The excess adipose tissue disturbs the lymphatic vessels, leading to massive edema localized mostly in the lower extremity, reaching a substantial size and weight that interferes with the quality of life of the individual in question. The mass can cause cosmetic but more importantly functional and structural defects, leading to altered biomechanics with increased risk of deep vein thromboembolism. Below is a presentation of a patient presenting with complaint of a massive medial thigh mass. After much investigation, consultation, and use of diagnostic radiologic modalities it was diagnosed as what is referred to in the literature as massive localized lymphedema, or pseudosarcoma. This mass was managed by surgical excision and the diagnosis was further confirmed by pathologic analysis. After the excision, our patient regained his ability to ambulate on his own, with the help of a rehabilitation program and physical therapy. Massive localized lymphedema needs to be on the differential diagnosis of any morbidly obese patient presenting with mass, especially in the lower extremities. Adequate knowledge about this condition enables the physician to make the distinction between pseudosarcoma and true soft tissue sarcomas.

AB - Massive localized lymphedema, also called pseudosarcoma, is a rare condition associated with morbid obesity. Accurate identification of this entity helps the physician make the distinction between this condition and other soft tissue tumors, especially with the increasing rate of obesity worldwide. Obesity and increased caloric intake lead to storage of the excess energy in the form of adipose tissue. The excess adipose tissue disturbs the lymphatic vessels, leading to massive edema localized mostly in the lower extremity, reaching a substantial size and weight that interferes with the quality of life of the individual in question. The mass can cause cosmetic but more importantly functional and structural defects, leading to altered biomechanics with increased risk of deep vein thromboembolism. Below is a presentation of a patient presenting with complaint of a massive medial thigh mass. After much investigation, consultation, and use of diagnostic radiologic modalities it was diagnosed as what is referred to in the literature as massive localized lymphedema, or pseudosarcoma. This mass was managed by surgical excision and the diagnosis was further confirmed by pathologic analysis. After the excision, our patient regained his ability to ambulate on his own, with the help of a rehabilitation program and physical therapy. Massive localized lymphedema needs to be on the differential diagnosis of any morbidly obese patient presenting with mass, especially in the lower extremities. Adequate knowledge about this condition enables the physician to make the distinction between pseudosarcoma and true soft tissue sarcomas.

KW - Benign tumor

KW - Lymphatics

KW - Massive localized lymphedema

KW - Obesity

KW - Pseudosarcoma

UR - http://www.scopus.com/inward/record.url?scp=84974602203&partnerID=8YFLogxK

U2 - 10.9738/INTSURG-D-14-00077.1

DO - 10.9738/INTSURG-D-14-00077.1

M3 - Article

VL - 100

SP - 461

EP - 465

JO - International Surgery

JF - International Surgery

SN - 0020-8868

IS - 3

ER -