Photo Quiz

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.

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Figure 1.

Figure 1.

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Figure 2.

Figure 2.

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Address correspondence to Hei Sung Kim, MD, PhD, at Reprints are not available from the authors.

Author disclosure: No relevant financial affiliations.


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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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