A Pedunculated Mass on the Thigh
Am Fam Physician. 2016 Dec 15;94(12):1003-1004.
An otherwise healthy 45-year-old woman presented with a lesion on her right thigh. It had gradually increased in size since she first noticed it five years earlier. The patient had no history of trauma or surgery to the area. The lesion was asymptomatic and solitary. The physical examination revealed a well-defined, dome-shaped, corrugated, skin-colored, pedunculated mass on the right medial thigh (Figure 1, Figure 2, and Figure 3). The lesion was 3 × 4 cm in size, soft, nontender, and not reducible. The remainder of the examination was unremarkable.
Based on the patient's history and physical examination findings, which one of the following is the most likely diagnosis?
D. Nevus lipomatosus
REFERENCESshow all references
1. Nogita T, Wong TY, Hidano A, Mihm MC Jr, Kawashima M. Pedunculated lipofibroma. A clinicopathologic study of thirty-two cases supporting a simplified nomenclature. J Am Acad Dermatol. 1994;31(2 pt 1):235–240....
2. Verma R, Vasudevan B, Pragasam V, Moorchung N, Neema S, Gopal M. Solitary pedunculated growth on a thigh. Indian J Dermatol. 2014;59(2):205–206.
3. Wolff K, Johnson RA, Fitzpatrick TB, eds. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology. 6th ed. New York, NY: McGraw-Hill; 2009:224.
4. Oshman RG, Phelps RG, Kantor I. A solitary neurofibroma on the finger. Arch Dermatol. 1988;124(8):1185–1186.
This series is coordinated by John E. Delzell Jr., MD, MSPH, Assistant Medical Editor.
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