ePlasty: Vol. 17
A Pedunculated Neoplasm of the Thigh
Erica Y. Xue, MS, Jerette J. Schultz, MD, and Ramazi Datiashvili, MD

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers/New Jersey Medical School, Newark


Correspondence: js2311@njms.rutgers.edu
Keywords: thigh lesion, fibrolipoma, pedunculated, lipoma, neoplasm
Figure 1. Preoperative view of the pedunculated upper thigh mass.

DESCRIPTION

A 47-year-old man presented to the plastic surgery clinic with a pedunculated lesion of the right medial thigh. The lesion had been present for the majority of the patient's life and had gradually enlarged to the point where it was interfering with wearing pants.

QUESTIONS

1. What is the differential diagnosis for a single, flesh-toned, pedunculated tumor of the thigh?

2. What is a fibrolipoma?

3. What is the presentation of other reported pedunculated fibrolipomas?

4. How are fibrolipomas managed?

DISCUSSION

The differential diagnosis for a pedunculated thigh mass includes acrochordon, solitary nevus lipomatosus cutaneous superficialis (NLCS), and lipoma. Acrochordons, also known as skin tags, are 2- to 6-mm pedunculated papules or nodules found in .......