title: Unusual case of recurrent thigh lump in a girl: a case report.
abstract: BACKGROUND
  Lipofibromatosis is a rare fibro-fatty tumour with a predilection to involve distal extremities. It has only recently been described as a distinctive clinicopathologic entity, and subsequently only a few cases have been published in the literature. To address the clinicopathologic significance of this rare entity, we here describe a case of lipofibromatosis occurring on the left thigh of a Sri Lankan girl who developed a recurrence following excision.
  
  
  METHODS
  A 15-year-old previously healthy girl of Sri Lankan ethnicity presented with a painless progressively enlarging mass in her left thigh. Magnetic resonance imaging of her thigh lump, revealed a septated mass arising from subcutaneous tissue of anterolateral and medial aspects of her thigh. Histological assessment revealed evidence of lipofibromatosis, and the lesion was excised followed by split-skin grafting. She presented again with a local recurrence at the same site.
  
  
  CONCLUSIONS
  Adequate surgical excision leads to complete cure of this benign lesion, but recurrences are common following incomplete excision. Therefore awareness among clinicians of this rare entity is vital in offering the best possible care to the patients.
authors.affiliation: General Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka. lasithamfc@gmail.com.
authors.forename: Lasitha
authors.initials: L
authors.lastname: Samarakoon
authors.forename: Tharanga
authors.initials: T
authors.lastname: Fernanado
authors.forename: Eshwari
authors.initials: E
authors.lastname: Liyanage
authors.forename: Himaru
authors.initials: H
authors.lastname: Wirithamulla
authors.forename: Kaluarachige Sunil
authors.initials: KS
authors.lastname: Perera
mesh_terms: D000293:Adolescent; D005260:Female; D005350:Fibroma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000175:diagnosis* / Q000601:surgery; D013848:Thigh