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Rare disease
CASE REPORT
Leiomyosarcoma presenting as ‘idiopathic’ unilateral lower limb lymphoedema
  1. Haji Khairul Abd Kadir1,
  2. Jagjeeth Naik2,
  3. Coonoor R Chandrasekar1
  1. 1Trauma and Orthopaedics Department, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK
  2. 2Vascular Surgery Department, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK
  1. Correspondence to Mr Haji Khairul Abd Kadir, haji.kadir{at}doctors.org.uk

Summary

A 74-year-old woman presented with an 8-year history of unilateral swelling of her right lower limb, which was thought to be ‘idiopathic’ lymphoedema until she noticed a painless swelling in her right groin. Physical examination showed a painless, non-pulsatile, deep-seated mass in her right proximal thigh with significant lymphoedema distally. MRI scan showed a large mass at her right inguinal region, involving the common femoral vein. Histological examination on complete excision revealed leiomyosarcoma. It is important to exclude proximal obstructive lesion before making a diagnosis of unilateral idiopathic lower limb lymphoedema.

  • orthopaedic and trauma surgery
  • vascular surgery
  • surgical oncology

https://doi.org/10.1136/bcr-2017-219898

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    Footnotes

    • Contributors HKAK has been involved in the care of the patient during the perioperative period, data collection and manuscript write-up. CRC is the orthopaedic consultant who has been involved in the overall care of the patient including surgical intervention and part of the write-up of this manuscript. JN is the vascular consultant who was involved in the surgical intervention.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.