Abstract
We present a case of 20-year-old woman who presented with a large pedunculated skin covered mass lesion arising from the left thigh, measuring 40 × 25 cm, with no history of pain or skin ulceration and a feeling of a lump with dragging pain in the left side of the abdomen for about 7 years. Subsequently, ultrasound, contrast-enhanced computed tomography, and magnetic resonance imaging of abdomen and left thigh region were carried out. The lesion was broad-based toward the left upper thigh with a central core of interspersed fat supplied by branches of the superficial and deep femoral arteries. Another lesion was seen in the left retroperitoneum anterior to the psoas muscle in a left paravertebral location encasing the left common iliac vessels extending into the left pelvic cavity and inguinal region inferiorly. The lesion showed dense post-acoustic shadowing on ultrasound, mild enhancement on contrast-enhanced computed tomography, and appeared hypointense on T1- and T2-weighted images. A left thigh lesion was excised, whereas incisional biopsy was done for the left retroperitoneal lesion. The diagnosis of a giant fibroepithelial polyp arising from the left thigh and left retroperitoneal fibromatosis was made. This is the first report of such a giant fibroepithelial polyp arising from the thigh with associated retroperitoneal fibromatosis.
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Abbreviations
- CECT:
-
Contrast-enhanced computed tomography
- DFA:
-
Deep femoral artery
- DWI:
-
Diffusion-weighted image
- MRI:
-
Magnetic resonance imaging
- SFA:
-
Superficial femoral artery
- USG:
-
Ultrasound
- WI:
-
Weighted image
References
Farshchian M, Soltanieh E, Mousavi L, Rahmatpour G. A case report of a giant skin tag. Iran J Dermatol. 2009;12:136–8.
Abbasi F, Pourghasem G, Rezaei M. Giant skin tag. J Surg Pak. 2011;16:183–4.
Campara Z, Spasic A, Aleksic P, Milev B. An aggressive retroperitoneal fibromatosis. Mediev Archaeol. 2016;70(2):154–7.
Kang H, Kim TS, Han J, Kim H. Fibroepithelial polyp of the bronchus: CT and histopathologic findings. Korean J Radiol. 2012;13(3):355–7.
Madueke-Laveaux OS, Gogoi R, Stoner G. Giant fibroepithelial stromal polyp of the vulva: largest case reported. Ann Surg Innov Res. 2013;7:8.
Kato H, Kanematsu M, Sato E, Ito N, Furui T, Hirose Y. Magnetic resonance imaging findings of fibroepithelial polyp of the vulva: radiological-pathological correlation. Jpn J Radiol. 2010;28(8):609–12.
Lee EJ, Hong SG, Baek HR, Lee CB, Choi SM, Kim SJ, et al. A case of large fibrovascular polyp of the stomach. Clin Endosc. 2013;46(2):186–8.
Peng H-L, Cheng T-F, Chen L-K, Su C-T, Chen D-R. A giant acrochordon on the nipple: report of a case. Formos J Surg. 2011;44(1):31–3.
Shah BC, Degloorkar S, Rao A. Giant fibroepithelial polyp of vulva—a rarest of its occurrence. J Case Rep. 2014;4(2):263–5.
Bahce ZS, Akbulut S, Sogutcu N, Oztas T. Giant acrochordon arising from the thigh. J Coll Physicians Surg Pak. 2015;25(11):839–40.
Lim R, Jaramillo D, Poussaint TY, Chang Y, Korf B. Superficial Neurofibroma: a lesion with unique MRI characteristics in patients with neurofibromatosis type 1. AJR Am J Roentgenol. 2005;184:962–8.
Chougule A, Kumari R, Thappa DM. Giant nevus lipomatosus cutaneous superficialis of the thigh. Indian J Dermatol. 2007;52(2):120–1.
Diviti S, Gupta N, Hooda K, Sharma K, Lo L. Morel–Lavallee lesions—review of pathophysiology, clinical findings, imaging findings and management. J Clin Diagn Res. 2017;11(4):TE01–04..
Walker EA, Petscavage JM, Brian PL, Logie CI, Montini KM, Murphey MD. Imaging features of superficial and deep fibromatoses in the adult population. Sarcoma. 2012;2012:1–17.
Weiss SW, Goldblum JR, Enzinger FM. Fibromatoses. In: Weiss SW, Goldblum JR, editors. Enzinger and Weiss’ soft tissue tumors. Philadelphia: Mosby Elsevier; 2008. p. 227–8.
Kim YW, Choi SJ, Jeon UB, Choo KS. Retroperitoneal fibromatosis presenting as a presacral mass. Acta Radiol Short Rep. 2014;3(2):1–4.
Rajiah P, Sinha R, Cuevas C, Dubinsky TJ, Bush WH, Kolokythas O. Imaging of uncommon retroperitoneal masses. Radiographics. 2011;31:949–76.
Wang X, Zhao X, Chin J, Zhu L, Wang Z, Zhong Z. Recurrent retroperitoneal inflammatory myofibroblastic tumor: a case report. Oncol Lett. 2016;12:1535–8.
Jeon JY, Chung HW, Lee MH, Lee SH, Shin MJ. Usefulness of diffusion-weighted MR imaging for differentiating between benign and malignant superficial soft tissue tumours and tumour-like lesions. Br J Radiol. 2016;89:01–10.
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Gupta, R., Smita, S., Sinha, R. et al. Giant fibroepithelial polyp of the thigh and retroperitoneal fibromatosis in a young woman: a rare case. Skeletal Radiol 47, 1299–1304 (2018). https://doi.org/10.1007/s00256-018-2904-x
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DOI: https://doi.org/10.1007/s00256-018-2904-x