(OCAD) slightly off topic: pls help with vascularized subcutaneous lesion

Hi everyone,

I know this is an MSK forum – hope you’ll forgive this posting 🙂

M43 with reddish bump on left thigh, had it for 2-3 years already,
reportedly sometimes more, sometimes less prominent.

I see a vascularized, solid, ovoid, subq lesion without involvement of
fascia / muscle, 2.5 x 1.2 cm (1 x 0.5 inch).
Surgeons pressing for a DDx. Told them to take it out and let path tell,
but they insist 🙂

What is your impression?

Thanks, and have a great day!
Andrei

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1 thought on “(OCAD) slightly off topic: pls help with vascularized subcutaneous lesion”

  1. hello,
    The ultrasound appearance is nonspecific. The lesion is highly vascularized so I would recommend removal or biopsy. Sometimes sarcomas can look like this.

    Kind regards from Spain.

    Javier Pérez

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