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Updated: Jun 5, 2026
05:44
Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
Massive localised lymphoedema: clinical presentation and MR imaging characteristics
Monica Khanna1, Ali M Naraghi, David Salonen
1Department of Clinical Imaging, Imperial College Healthcare NHS Trust, London, UK. monica.khanna@imperial.nhs.uk
Skeletal Radiology
|January 21, 2011
Summary
Massive localized lymphedema (MLL) can mimic soft-tissue sarcomas in morbidly obese adults. Familiarity with its distinct MR imaging features is crucial for accurate diagnosis.
Area of Science:
- Radiology
- Oncology
- Endocrinology
Background:
- Morbid obesity is a growing global health concern.
- Soft-tissue sarcomas are a diverse group of malignant tumors.
- Accurate diagnosis of thigh masses is essential.
Observation:
- Three morbidly obese women presented with suspected thigh soft-tissue sarcomas.
- Lesions were identified as massive localized lymphedema (MLL).
- MLL is a rare condition in morbidly obese adults.
Findings:
- MR imaging revealed sharply demarcated, pedunculated masses.
- Fat lobules partitioned by fibrous septae were observed.
- Lace-like edema patterns and minimal enhancement were noted.
Implications:
- MLL can be misdiagnosed as soft-tissue sarcoma.
- Increased obesity prevalence may lead to more MLL cases.
- Radiological recognition of MLL is vital for correct diagnosis and management.
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