A 40 years old patient presented with history of gradual onset of swelling in left thigh. D/d and management of this case.

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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

Trucut is recommended
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? SOFT TISSUE SARCOMA.. ? LIPOSARCOMA.. FNAC FOR FURTHER MANAGEMENT

Thank you very much sir Dr Partha Sarathi Sahana
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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

Soft tissue sarcoma of extensor compartment of the thigh

Azalea
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Liposarcoma ?

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