Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressively enlarging, firm, deep-seated mass in the [anterior/posterior/medial/lateral] thigh. Duration of symptoms is [X] months. Patient reports [presence/absence] of localized pain, overlying skin changes, or constitutional symptoms (weight loss, night sweats). No history of prior radiation or trauma to the site.
Clinical Examination Findings
Physical examination reveals a [size in cm] non-tender, firm, fixed mass located in the [specific thigh compartment]. The mass is deep to the fascia, with no evidence of distal neurovascular compromise. Overlying skin is [intact/erythematous/ulcerated]. Regional lymphadenopathy is [absent/present]. Range of motion of the hip and knee is [full/restricted].
Treatment Protocol
Multidisciplinary management plan initiated. Recommended treatment includes wide local excision with negative margins (R0 resection). Preoperative [MRI/CT] imaging reviewed. Consideration for neoadjuvant or adjuvant radiotherapy based on tumor grade and surgical margins. Referral to medical oncology for discussion of systemic chemotherapy if indicated.