Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, slowly enlarging mass in the thigh. Denies pain, paresthesia, or functional impairment. No history of trauma or rapid growth. Mass is noted to be firm, deep-seated, and relatively fixed upon muscle contraction.
Clinical Examination Findings
Physical exam reveals a deep-seated, non-tender, soft-to-firm mass within the thigh musculature. Mass becomes less mobile and more prominent upon active muscle contraction (positive Fothergillโs sign equivalent for intramuscular location). No overlying skin changes, erythema, or lymphadenopathy. Neurovascular status distal to the mass is intact.
Treatment Protocol
Observation is recommended for asymptomatic, small, stable lesions. Surgical excision is indicated if the mass is symptomatic, rapidly enlarging, or if imaging suggests atypical features. Pre-operative MRI is required to delineate margins and relationship to neurovascular structures.