Juan Garrido-Gómez, MD, PhD, Maria L. Vizoso-Pérez, MD, Jose P

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Intermittent claudication caused by a giant atypical lipoma of the thigh Juan Garrido-Gómez, MD, PhD, Maria L. Vizoso-Pérez, MD, Jose P. Linares-Palomino, MD, PhD, Miguel A. Arrabal-Polo, MD, PhD, Encarnacion Cárdenas-Grande, MD Journal of Vascular Surgery Volume 56, Issue 3, Pages 808-811 (September 2012) DOI: 10.1016/j.jvs.2012.03.242 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Coronal slice in T1, showing the relationship of the lipoma (*) with the femoral artery (black arrow) and thigh muscles. B, Sagittal slice in T2, showing the relationship between the adipose tumor (*) and femoral artery, which shows a slight narrowing of the vessel lumen (white arrow). Journal of Vascular Surgery 2012 56, 808-811DOI: (10.1016/j.jvs.2012.03.242) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Image of surgical procedure: tumor in subfascial localization (star) and in close relationship with femoral vessels (yellow arrow). B, Image of surgical procedure: deep femoral artery (white arrow) and superficial artery (yellow arrow) after tumor resection. Journal of Vascular Surgery 2012 56, 808-811DOI: (10.1016/j.jvs.2012.03.242) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Histologic study. We highlight the presence of microvacuolated adipocytes (around 1%) and the absence of cell atypia or cell multinucleation. No mitosis or myxoid tissue was observed in the samples. A, Mature adipose tissue with microvascular network. Medium-caliber vessel showing compression and lumen narrowing (*) (hematoxylin-eosin [H&E] stain). B, Encapsulated univacuolated adipocytes of mature appearance (*) (H&E ×4). Arrow: multivacuolated adipocytes (H&E ×40). Journal of Vascular Surgery 2012 56, 808-811DOI: (10.1016/j.jvs.2012.03.242) Copyright © 2012 Society for Vascular Surgery Terms and Conditions