BMJ Case Reports 2010; doi:10.1136/bcr.09.2009.2266
  • Unusual presentation of more common disease/injury

Can gout mimic a soft tissue tumour?

  1. Pailoor Jayalakshmi2
  1. 1University Malaya, Orthopaedics, Lembah Pantai, Kuala Lumpur, 50603, Malaysia
  2. 2University Malaya, Pathology, Lembah Pantai, Kuala Lumpur, 50603, Malaysia
  1. Correspondence to Vivek Ajit Singh, drvivek69{at}
  • Published 8 March 2010


Gout is a disease where an abnormal collection of uric crystals (gouty tophi) can often be found in the foot and ankle. Occasionally such tophies are found at unusual sites and this can pose a challenge to the clinician where diagnosis and treatment is concerned. We describe a patient who presented to our oncology department with a swelling on his right thigh which was clinically diagnosed to be a soft tissue sarcoma, but after further investigations it turned out to be a gouty tophi. The purpose of this case report is to emphasise the variable presentation of gout and the challenges that can be faced by clinicians in diagnosing a soft tissue swelling.


  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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