Sarinah Tamring, Zanaridah Mat Nawi, Nik Farah Nik Yusof Fuad, Tham Joon Hi, Shahrunizam Mohamad Setia Awang
MD, Klinik Kesihatan Putatan, Jalan Pasir Putih, Putatan, Sabah, Malaysia. E-mail:
MBBS, Dr. Fam. Med, Klinik Kesihatan Putatan, Jalan Pasir Putih, Putatan, Sabah, Malaysia.
Malays Fam Physician. 2025 Jul 29;20:51. doi: 10.51866/cr.877. eCollection 2025.
This is a case report of a middle-aged man who presented with chronic unilateral lower limb swelling and a mass on the same side. Several important differential diagnoses were considered. Lymphatic filariasis was included in the differential diagnoses due to a history of travel to a district endemic with filariasis in Sabah. A final diagnosis of soft tissue sarcoma was provisionally made based on the magnetic resonance imaging findings and confirmed by histopathological examination as pleomorphic dermal sarcoma. Both conditions are unusual but important causes in primary care due to their association with poor morbidity and risk of mortality. Patient management should involve a multidisciplinary team, including primary care, public health, radiology, pathology and orthopaedics.
这是一例中年男性病例报告，该患者出现慢性单侧下肢肿胀及同侧肿物。考虑了几种重要的鉴别诊断。由于有前往沙巴州丝虫病流行地区旅行的病史，淋巴丝虫病被纳入鉴别诊断。根据磁共振成像结果初步诊断为软组织肉瘤，并经组织病理学检查确诊为多形性皮肤肉瘤。这两种情况虽不常见，但在基层医疗中却是重要病因，因为它们与高发病率和死亡风险相关。患者管理应涉及多学科团队，包括基层医疗、公共卫生、放射学、病理学和骨科学。
