Case 30: The Misdiagnosed Labial Hemangioma

42-years old presented with asymmetry of the thighs and a long-standing labial "hemangioma"

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Case and Quiz

This 42-years old lady presented with asymmetry of the thighs with a history of a long-standing labial hemangioma.

The MRI of the thighs showed denervation neuropathy of the posterior compartment right thigh muscles and a search proximally showed an osteolytic sacral lesion, which was biopsied and showed an unusual metastatic sarcoma. PET/CT showed liver and lung metastasis.

MRI of the pelvis

MRI of the sacrum

Biopsy from the sacral lesion

PET/CT showing lung and liver lesions

PET/CT showing the labial mass

What is the likely diagnosis?

The answer is up here

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Table of Contents

Index

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Other Sites and Cases

https://www.ctchestreview.com/lecture05/

https://www.ctbiopsy.com/case114/

https://www.atmasvasth.com/pa10/