case_images: PMC4162075_01
case_images: Large palpable mass in the left thigh of patients associated with erythema of the adjacent skin
case_images: ABR-3-158-g001.jpg
case_images: PMC4162075_01_ABR-3-158-g001.jpg
case_images: F1
case_images: A case is presented of a 31-year-old female who complained of a painless, growing, palpable mass in her left thigh, associated with erythema of the adjacent skin [Figure 1].
case_images: Sagittal T1-weighted images (a) and T2-weighted images (b) Show a fusiform shape of a slightly isointense to muscle intensity on T1 images and homogenously hyperintense on T2 images
case_images: ABR-3-158-g002.jpg
case_images: PMC4162075_01_ABR-3-158-g002.jpg
case_images: F2
case_images: On MRI, the tumor showed an isointense signal on T1-weighted images and high-signal intensity on T2-weighted images, suggestive of myxoma [Figures 2 and 3].
case_images: Coronal T2-weighted images show a well-defined homogeneous mass lesion
case_images: ABR-3-158-g003.jpg
case_images: PMC4162075_01_ABR-3-158-g003.jpg
case_images: F3
case_images: On MRI, the tumor showed an isointense signal on T1-weighted images and high-signal intensity on T2-weighted images, suggestive of myxoma [Figures 2 and 3].
case_images: Giant encapsulated tumor after resection, having no adhesion to the adjacent tissue or vascular involvement
case_images: ABR-3-158-g004.jpg
case_images: PMC4162075_01_ABR-3-158-g004.jpg
case_images: F4
case_images: There was no adhesion to the adjacent tissue or vascular involvement [Figure 4].
case_images: On microscopic examination, a combined proliferation of all the elements of a peripheral nerve (axons, schwann cells, and fibroblasts) are seen, most have elongated nuclei, with wavy serpentine configuration and a pointed end (H and E, x100)
case_images: ABR-3-158-g005.jpg
case_images: PMC4162075_01_ABR-3-158-g005.jpg
case_images: F5
case_images: In the specimen taken from the adjacent skin, hyperpigmentation of the basal layer with neurofibromatous change in the dermis was present [Figures 5 and 6].
case_images: In some areas, mucinous changes were prominent, which could be mistaken for myxoma or myxoid liposarcoma (H and E, x400)
case_images: ABR-3-158-g006.jpg
case_images: PMC4162075_01_ABR-3-158-g006.jpg
case_images: F6
case_images: In the specimen taken from the adjacent skin, hyperpigmentation of the basal layer with neurofibromatous change in the dermis was present [Figures 5 and 6].