Test Yourself Question: A 77-year-old female presented with a 3-week history of left thigh swelling and pain

Pancreatic metastases are rare, accounting for 2%–3% of pancreatic tumors. The pancreas represents an unusual metastatic site of synovial sarcoma (SS) outside the usual localizations (regional nodes, lung, bone, and liver). The diagnosis is evoked by the personnel medical history of SS and imaging then confirmed by histological examination of the guided pancreatic biopsy. Its therapeutic management is mainly surgical with extensive removal of the lesion. So far only four cases have been reported in the English literature. We reported the case of a male aged 30-year-old who was admitted to our Institute for a local recurrence of SS of the left thigh which was initially treated by surgical excision. The patient underwent a wide surgical excision followed by chemotherapy and radiotherapy. About 15 months later, he experienced a pancreatic metastasis of his SS. He had a caudal splenopancreatectomy with partial resection of the transverse colon followed by chemotherapy. This report highlights the diagnostic difficulties of this rare localization and therapeutic challenge.

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Man With Left Thigh Swelling and Pain

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2020.12.020 ◽

2021 ◽

Vol 77 (6) ◽

pp. e117-e118

Author(s):

Jun Huang ◽

Li Li ◽

Tao Wang

Keyword(s):

Left Thigh ◽

Thigh Swelling

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Concurrent Varicella with Herpes Zoster in A Child

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v4i1.19079 ◽

2018 ◽

Vol 4 (1) ◽

pp. 38-40

Author(s):

Sundeep Chowdhry ◽

Prashansa Jaiswal ◽

Tapan Kumar Dhali ◽

Akhilesh Shukla

Keyword(s):

Herpes Zoster ◽

Giant Cells ◽

Left Thigh ◽

Whole Body ◽

Multinucleated Giant Cells ◽

Medical Sciences ◽

History Of

A 3 year old girl presented with a two- day history of multiple fluid filled lesions on buttocks and back of left thigh. As informed by the child's mother, she had fever 4 days back and was irritable with pain and discomfort on back of the left thigh. The pain was episodic and radiated from buttocks to the leg. On examination, multiple fluid filled lesions of various sizes with surrounding erythema were present involving the S1, S2, S3 dermatomes extending from buttock to the sole sparing few areas in between the vesicles. On further examination of whole body, there were multiple discrete fluid filled lesions on erythematous base ranging from 0.1 to 0.3 mm diameter in size on chest, abdomen and back. Multinucleated giant cells with acantholytic cells were found in Tzank smears. Diagnosis of concurrent varicella with herpes zoster was made.Journal of Universal College of Medical Sciences (2016) Vol.04 No.01 Issue 13, Page: 38-40

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Recurrent Episodic Foot-Drop Following Surgery to the Thigh

Sarcoma ◽

10.1155/2000/949842 ◽

2000 ◽

Vol 4 (4) ◽

pp. 183-184 ◽

Cited By ~ 1

Author(s):

Srinivas Maiya ◽

Simon Tan ◽

Robert J. Grimer

Keyword(s):

Soft Tissue ◽

Soft Tissue Sarcoma ◽

Case History ◽

Surgical Excision ◽

Left Thigh ◽

Foot Drop ◽

Complete Relief ◽

History Of

Subject.We present the case history of a 47-year-old lady who, 10 months following excision of a soft tissue sarcoma from the left thigh, was struck with recurrent episodes of foot drop.Discussion.The curious phenomenon of recurrent foot drop was found to be secondary to pressure symptoms from a tense seroma of the thigh. She underwent surgical excision of the sac and had immediate and complete relief of symptoms.

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BCG Induced Cold Abscess as a Complication of Inadvertent Vaccine Injection, a Case Series

10.22541/au.163861430.03876795/v1 ◽

2021 ◽

Author(s):

Parinaz Sedighi ◽

Taravat Sadrosadat ◽

Mahsa Movahedi ◽

Iraj Sedighi

Keyword(s):

Case Series ◽

Final Diagnosis ◽

Left Thigh ◽

Bcg Vaccine ◽

Thigh Muscle ◽

Vaccine Injection ◽

Cold Abscess ◽

Thigh Swelling

We report a four-month-old girl with a right thigh swelling, an eight-month-old girl with a left thigh swelling, and a five-month-old boy with a left thigh swelling with the final diagnosis of BCG-induced cold abscess as a result of erroneous injection of BCG vaccine into the infants’ thigh muscle.

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Gradually progressive increasing left thigh swelling in a young woman

Cytopathology ◽

10.1111/cyt.12897 ◽

2020 ◽

Vol 32 (1) ◽

pp. 139-141

Author(s):

Deepa Rani ◽

Anurag Gupta ◽

Pradyumn Singh

Keyword(s):

Young Woman ◽

Left Thigh ◽

Thigh Swelling

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CD5-Positive Primary Cutaneous Diffuse Large B-Cell Lymphoma-Leg Type

Case Reports in Dermatological Medicine ◽

10.1155/2019/3730915 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Alexandra Papoudou-Bai ◽

Leonidas Marinos ◽

Amalia Vassou ◽

Eleni Kapsali ◽

Panagiotis Kanavaros

Keyword(s):

Multiple Sclerosis ◽

Skin Biopsy ◽

B Cell ◽

Cell Lymphoma ◽

B Cell Lymphoma ◽

Left Thigh ◽

Lymphoid Cells ◽

Large B Cell Lymphoma ◽

History Of ◽

Large B Cell

Most primary cutaneous B-cell lymphomas (PCBCL) are CD5 negative, and only a few cases were found to express CD5. We report the first well-documented CD5+ primary cutaneous diffuse large B-cell lymphoma-leg type (PCDLBCL-LT). A 71-year-old woman with a history of Multiple Sclerosis was admitted because of a nodule at the left thigh. Histological examination of the skin biopsy disclosed a diffuse dermal infiltration by large lymphoid cells. Immunohistochemistry revealed that these large cells were positive for CD5, CD20, CD79a, MUM1/IRF4, Bcl6, Bcl2, and cytoplasmic IgM/λ, whereas CD3, CD56, CD23, CD21, CD10, CD30, cyclin D1, CD68, lysozyme, myeloperoxidase, and CD34 were not detected. Thus, the diagnosis of a CD5+ PCDLBCL-LT was made. Despite treatment, the patient died 11 months after initial diagnosis.

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Chronic Contained Rupture of Abdominal Aortic Aneurysm Presenting with Longstanding Back Pain

Scottish Medical Journal ◽

10.1177/003693300505000310 ◽

2005 ◽

Vol 50 (3) ◽

pp. 122-123 ◽

Cited By ~ 2

Author(s):

J Al-Koteesh ◽

Y Masannat ◽

N V M James ◽

U Sharaf

Keyword(s):

Abdominal Aortic Aneurysm ◽

Back Pain ◽

Aortic Aneurysm ◽

Rare Event ◽

Left Thigh ◽

Low Back ◽

Abdominal Aortic ◽

Diagnostic Difficulties ◽

History Of ◽

Recurrent Low Back Pain

Abdominal aortic aneurysm (AAA) is one of the important differential diagnoses of back pain which is often missed. Chronic contained rupture is a rare event that can cause diagnostic difficulties, presenting in different ways such as back pain, neuropathy or groin mass. We are presenting a case of 46-year-old man who presented with history of recurrent low back pain radiating to his left leg, associated with sensory deficit in the left thigh. His complaint proved to be resulting from chronic contained AAA leak.

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Left thigh swelling in an AIDS patient

The Internet Journal of Internal Medicine ◽

10.5580/1885 ◽

2008 ◽

Vol 7 (2) ◽

Keyword(s):

Left Thigh ◽

Thigh Swelling

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Thigh Compartment Syndrome: Diagnosis and Surgical Treatment

Vascular ◽

10.1258/rsmvasc.12.4.271 ◽

2004 ◽

Vol 12 (4) ◽

pp. 271-272

Author(s):

Robert W. Heidepriem ◽

Shields E. Frey ◽

Derek Robinson ◽

William J. Tapscott ◽

Richard K. Spence

Keyword(s):

Surgical Treatment ◽

Compartment Syndrome ◽

Signs And Symptoms ◽

Surgical Approaches ◽

Minor Injury ◽

Syndrome Diagnosis ◽

History Of ◽

Thigh Swelling

Thigh compartment syndrome is uncommon and may go unrecognized. Signs and symptoms include a history of thigh swelling and/or hematoma and pain after minor injury in a patient who is anticoagulated. Surgical approaches to the deep thigh compartments are described.

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