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[Massive localized lymphedema: a reactive lesion simulating liposarcoma (case report].

K Adamicová1, J Vána, J Celec

  • 1Ustav patologickej anatómie Martinskej fakultnej nemocnice a Jesseniovej lekárskej fakulty, Martin. adamicova@jfmed.uniba.sk

Ceskoslovenska Patologie
|September 28, 2002
PubMed
Summary

A rare case of massive localized lymphedema, presenting as a large thigh mass, was diagnosed in a 54-year-old female. Biopsies confirmed lymphedema, ruling out soft tissue tumors like liposarcoma.

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Area of Science:

  • Medicine
  • Oncology
  • Pathology

Background:

  • Massive localized lymphedema (MLL) is a rare condition characterized by significant limb swelling.
  • Distinguishing MLL from soft tissue tumors, such as liposarcoma, can be challenging due to overlapping clinical presentations.

Observation:

  • A 54-year-old female presented with a large, pendulous soft tissue mass on her thigh, measuring 70 x 65 cm.
  • The patient had a 1-year history of this growth with no subjective complaints.
  • Preoperative diagnosis suggested a liposarcoma based on the mass's appearance.

Findings:

  • Surgical excision of the mass was performed.
  • Histological and immunohistochemical examinations definitively ruled out benign or malignant soft tissue tumors.
  • The final diagnosis confirmed the mass as massive localized lymphedema.

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Implications:

  • This case highlights the importance of comprehensive histopathological evaluation in diagnosing large soft tissue masses.
  • Accurate diagnosis of MLL is crucial for appropriate management and to avoid unnecessary aggressive treatments for presumed malignancies.
  • Further research into the etiology and optimal treatment strategies for MLL is warranted.