Massive Localized Lymphedema in Morbid Obesity



Massive Localized Lymphedema in Morbid Obesity


Steven D. Billings, MD









Hematoxylin & eosin shows cellular fibrous septa of variable width within the subcutaneous adipose tissue. No nuclear pleomorphism is seen in either the fibrous septa or fat.






Hematoxylin & eosin shows scattered fibroblasts within fibrous trabeculae and mature adipocytes. The adipocytes are of uniform size, and no atypical cells or lipoblasts are seen.


TERMINOLOGY


Definitions



  • Pseudoneoplastic process related to localized lymphatic obstruction


CLINICAL ISSUES


Presentation



  • Painless mass



    • Seen in morbidly obese patients (> 300 lbs)


    • Most common on medial thigh


    • Can occur in other locations such as abdomen and axilla


Prognosis



  • Benign



    • Recurrence or persistence common


IMAGE FINDINGS


CT Findings



  • Soft tissue streaking due to expanded subcutaneous septa


  • Cysts


  • No discrete mass

Jul 9, 2016 | Posted by in PATHOLOGY & LABORATORY MEDICINE | Comments Off on Massive Localized Lymphedema in Morbid Obesity
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