Suspension Technique for Ease of Operation in a Giant Angiolipoma of Thigh

Abstract

Angiolipomas are de fi ned as benign soft tissue tumors of mesenchymal origin and are made of mature adipocytes with an excessive degree of vascular proliferation. They are often asymptomatic and painless, and as they grow may cause mass effect. They can either be in fi ltrating or non-in fi ltrating (encapsulated). 1 Resection is the fi rst line of treatment for both variants with recurrence more common in in fi ltrating variants. We present a 48-year-old male who presented with a large swelling over the anterior aspect of the left proximal thigh. It gradually increased in size over 10 years. The lesion was a lobulated large exophytic that measured 40cm (cid:1) 20 cm (cid:1) 25cm in size ( ► Fig. 1 ). A contrast-enhanced magnetic resonance imaging showed large soft tissue tumor lesion in a subcutaneous plane with multiple hypertrophied arterial branches from the left super fi cial femoral artery along with multiple dilated veins without any nidus. The lesion was consistent with lipomatous tumor.