Giant Sclerosing Epithelioid Fibrosarcoma of the Thigh: A Case Report

JBJS Case Connect. 2021 May 6;11(2). doi: 10.2106/JBJS.CC.20.00575.

Abstract

Case: We present a case of a 35-year-old-man with a giant sclerosing epithelioid fibrosarcoma (SEF) of the thigh. The patient presented with a history of a painful thigh mass. Plain radiographs revealed a soft-tissue mass with extensive calcifications, whereas on magnetic resonance imaging, a lobulated mass between the adductors and the posterior muscles of the thigh was noted. A wide en block resection was undertaken, and the histopathology confirmed the diagnosis of SEF. Postoperative radiation therapy was followed. The patient had no signs of recurrence at the 4-year follow-up.

Conclusion: The clinicopathological, imaging characteristics, and treatment options of this rare soft-tissue tumor are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fibrosarcoma* / diagnostic imaging
  • Fibrosarcoma* / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Soft Tissue Neoplasms* / diagnostic imaging
  • Soft Tissue Neoplasms* / surgery
  • Thigh / pathology