Key result
Wide excision and skin grafting treat great saphenous vein leiomyosarcoma presenting as a calf lump.
Why the study?
A simple lump in the lower limb could be a malignant vascular tumour and should be considered in the differential diagnosis of a lower limb lump.
Case Report (n=1)
Malignant vascular tumors such as leiomyosarcoma should be considered in the differential diagnosis of a simple lump in the lower limb.
May warrant considering vascular leiomyosarcoma in lower limb lumps; leaves open validation in larger cohorts.
We present the case of a 76-year-old man with a 2-month history of mildly tender swelling in the right calf for which he had an initial excision and then a wide local excision followed by a split skin graft because the initial histopathology confirmed that there was a Grade I leiomyosarcoma of great saphenous vein. A simple lump in the lower limb could be a malignant vascular tumour and should always be considered in the list of differential diagnosis of a lump in the lower limb.
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Lin et al. (2016) conducted a case report in Leiomyosarcoma of great saphenous vein (n=1). Excision and wide local excision followed by split skin graft was evaluated. Excision and wide local excision followed by a split skin graft were performed for a 76-year-old man with a Grade I leiomyosarcoma of the great saphenous vein presenting as a calf lump.
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