A 40 years old patient presented with history of gradual onset of swelling in left thigh. D/d and management of this case.
Dermatofibrosarcoma protuberans. Second possibility is a Liposarcoma. A F.NAC is required to arrive at a diagnosis. A wide surgical excision is required. followed by HPE of excised mass. A metastatic work up is required if turns out be sarcoma for further treatment
Partly skin covered, Large swelling with focus of infection & increased vascularity. Possibilities are : Soft tissue neoplasm Adnexal tumour Probably malignant. Soft tissue Sarcoma. Advised Correlation with radiology to know the extent, plane, involving bone & FNAC, Biopsy supplemented by, special histochemical stains, immunohistochemistry & Molecular studies.
Malignant soft tissue tumour D/D-1. DFSP( Intermediate) 2.Fibrosarcoma 3.Liposarcoma 4.Fibromyxoid sarcoma 5.MFH/ Undifferentiated Pleomorphic Sarcoma However, detail clinical evaluation, radio imaging study(bony involvement if so), FNAC, biopsy and IHC for needful.
Swelling appears infected maybe of sebaceous cyst infected.Other swellings in D/D dermatofibromas,neurofibroma/sarcoma.Simple FNAC/Biopsy will guide the diagnosis.Wide excision is the treatment of choice.If malignant Radiotherapy is followed
It appears to be a benign condition , looking at the prominent vessels it could be haemartoma or dermatofibroma protubarance. Excision under LA and HPE .
Soft tissue of Sarcoma of thigh.
Malignant growth From soft tissue Wide excision and skin cover Histopathology Radiotherapy and chemotherapy As per report
Liposarcoma ?
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