MASSIVE LOCALIZED LIPOLYMPHEDEMA PSEUDOTUMOR IN A MORBIDLY OBESE PATIENT

Abstract

We describe a 31 year old man with a massive localized tumor-like lipolymphedema, apuzzling entity that afflicts the morbidly obese. The 281 kg man presented with a growingulcerated bleeding mass located on his proximal medial thigh and suspicious for sarcoma. Afteren bloc resection of the 28.2 kg edematous mass, no evidence of neoplasm was found, onlyprominent lymphatic vessel dilation and edema with large quantities of unremarkable adiposeand connective tissue. The lesion conformed to the diagnostic criteria for massive localizedlipolymphedema (MLL) pseudotumor.