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At least 757 records · Page 42Linked to original sources
PubMed2000

Benign lymphangioendothelioma of the thigh simulating a low-grade angiosarcoma.

Benign lymphangioendothelioma (BL) is a rare vascular neoplasm that can histopathologically mimic a low-grade angiosarcoma or the patch stage of Kaposi sarcoma. We report on the case of a 49-year-old man with a benign lymphangioendothelioma on the right thigh that evolved on a vascular birthmark after a trauma. Because of constant pain and the slow but progressive growth of the lesion, we decided to excise the tumor. Three stages of surgery were needed to obtain negative margins. We review the reports of BL to date, with special attention to those that developed after trauma and those that had a preexistent vascular lesion, and expound on the histopathologic differential diagnosis with low-grade angiosarcoma.

Biomarkers, Tumor↗
PubMed1984

Blood supply and innervation of the supermedial thigh flap employed in one-stage reconstruction of the scrotum and vulva--an anatomical study.

The supermedial thigh flap is an arterial and sensate flap. Anatomical studies reveal both large and small nutrient arteries. Its largest and most consistent artery is the superficial branch of the deep external pudendal artery, which constitutes the main circulation. The secondary blood supply to the base of the flaps is contributed by musculocutaneous perforators of the medial circumflex femoral artery. Subcutaneous branches of the superficial femoral artery, when present, are an additional source of arterial supply. Branches of the ilioinguinal nerve provide sensory innervation to the flaps.

Arteries↗
PubMed1988

The free or pedicled anteromedial thigh flap.

The anteromedial thigh flap first described by Song is a septocutaneous artery flap based on the septocutaneous perforator originating from the lateral circumflex femoral vessels and long saphenous vein. The use of this flap for 3 patients who required soft tissue coverage is reported herein. The most important advantage of this flap is that it can be used not only as a skin flap but also as a vascularized fascia graft and fasciocutaneous free flap for the full-thickness defect of the abdominal wall and cranial region.

Abdominal Muscles↗
PubMed1991

Giant melanoma of the inner thigh: a homeopathic life-threatening negligence.

The strange case of a 37-year-old modern, Western woman who presented with a giant black mass on her inner right thigh is presented. She was treated 10 months before this present admission by an excision of a nodular melanoma, and she was treated, thereafter, by a homeopathic practitioner until she came late to follow-up. The woman is discussed with special attention to the fact that alternative medicine does not always constitute good advice, and the relevant literature is reviewed.

Adult↗
PubMed1995

Thigh augmentation.

Based on the experience with calf and buttock augmentation, a new type of implant was designed for thigh augmentation. A case report is presented.

Adult↗
PubMed2001

Sciatic neuropathy secondary to infiltrating intermuscular lipoma of the thigh.

Sciatic neuropathy is a rare mononeuropathy of the lower limbs that is commonly misdiagnosed as spinal stenosis or herniated nucleus pulposus. We describe an unusual case in which a patient underwent surgical excision of a large soft-tissue mass on his right side that involved the posterior and medial compartment of the thigh with displacement of the sciatic nerve posteriorly. The patient had full resolution of his pain and restoration of his neurologic function.

Electromyography↗
PubMed2002

Dynamic enhancement features of gadophrin-2 on magnetic resonance imaging: an experimental model of VX2 carcinoma and bacterial abscess in rabbit thigh.

RATIONALE AND OBJECTIVES: To determine the dynamic enhancement features of malignant tumor and bacterial abscess in rabbits on magnetic resonance imaging (MRI) after injection of gadolinium mesoporphyrin (gadophrin-2) and to correlate them with histopathologic findings. METHODS: Six VX2 carcinomas and six bacterial abscesses were experimentally induced in either thigh of six rabbits. Dynamic T1-weighted MRI was performed before and 1, 3, 5, 10, 30 minutes and 16, 21, 72 hours after intravenous injection of gadophrin-2 (0.05 mmol/kg). The enhancement ratios of lesions were calculated for each time point. All tumors and abscesses were sectioned along the same plane of MR images for a detailed MRI-histopathologic correlation. RESULTS: In tumors and abscesses, peripheral-rim enhancement appeared on MRI at 1, 3, 5, 10, 30 minutes after injection of gadophrin-2. The lesions showed peripheral enhancement with irregular central enhancement or diffuse enhancement after 16 and 21 hours, and there was diffuse enhancement of the entire lesion after 72 hours. Enhancement ratios in tumor-necrosis mixed area and the pure necrotic area in VX2 carcinoma and the central cavity in bacterial abscess were significantly lower than that in the compact cellular portion in VX2 carcinoma and the wall of abscess at early phase (P < 0.01). On delayed phase MRI, there was no statistical significance in enhancement ratio of three histologic parts of VX2 carcinoma (P > 0.05) and two histologic parts of abscess (P > 0.05). Rapid enhancement at early phase with diminishing signal intensity at delayed phase is indicative of viable compact tumor and delayed strong enhancement is indicative of necrosis. CONCLUSION: It is difficult to distinguish an abscess from a tumor on gadophrin-2 enhanced MRI especially when intratumoral necrosis is prominent. However, the trend and degree of enhancement by gadophrin-2 could be helpful in discrimination between viable tumor and tumor necrosis.

Abscess↗
PubMed1983

CT findings in hibernoma of the thigh.

Hibernoma is a rare hypervascular tumour originating from brown fat. A case report of a thigh hibernoma with computed tomographic and angiographic findings is presented. An attempt to differentiate this tumour from the white fatty tumours, i.e., lipoma, angiolipoma, angiomyolipoma, and liposarcoma, is discussed.

Adipose Tissue, Brown↗
PubMedDate not supplied

Segmental autotransplantation of the distal pancreas to the thigh: CT and ultrasound features.

In select patients with pancreatitis, pancreatectomy may be the only alternative for treatment of abdominal pain. Segmental autotransplantation of the distal pancreas to the thigh has been shown to be successful in preventing or reducing the severity of diabetes following pancreatectomy. We present the postoperative anatomy and potential complications identified on cross-sectional imaging.

Chronic Disease↗
PubMed1997

Retroperitoneal abscess presenting as emphysema of the thigh.

Leg pain may be a presenting symptom of intra-abdominal disease. I report a case of subcutaneous emphysema of the thigh that was a complication of diverticular perforation and abscess formation. Healthy leg muscle was found at operation, showing that myonecrosis need not necessarily be present even with finding of extensive gas accumulation.

Abscess↗
PubMed1987

Compartment syndrome of the thigh complicating surgical treatment of ipsilateral femur and ankle fractures.

A 26-year-old man presented with ipsilateral femur and ankle fractures. The patient was treated with interlocking nail of his femur fracture, followed by open reduction and internal fixation of his ankle fracture under tourniquet control. Postoperatively, the patient developed compartment syndrome of his thigh with elevated pressures, requiring decompressive fasciotomies. This case illustrates the possible complication of treating a femur fracture with intramedullary nailing and then immediately applying a tourniquet to treat an ipsilateral extremity fracture. Because of the complication with this patient, we feel the procedure should be staged, or a tourniquet should be avoided if possible.

Adult↗
PubMed1980

Reconstruction of the scrotum by thigh flaps.

We have done four cases of scrotal reconstruction. In these patients, the scrotal skin was lost as a result of either gangrene of the scrotum or from trauma, surgical or mechanical. The technique of coverage by thigh flaps is a single-staged operation. It gives a pleasing appearance to the genitalia and maintains the testicular function.

Adolescent↗
PubMed1985

The blood supply of thigh skin.

The pattern of blood supply to the integument of the thigh is reported. A new technique is described for analyzing the length, direction, and number of arterioles in specimens of cadaver skin and deep fascia. The information obtained from these studies adds to existing knowledge of the anatomic vascular basis of direct cutaneous and musculocutaneous flaps in this region and provides a scientific basis for the elevation of fasciocutaneous flaps in such a way as to aid the achievement of maximum length-to-breadth ratios.

Fascia↗