Painless mass in leg

Francisco Amores-Ramírez1, Isabel Hierro Martín2, Elvira Montañez Heredia3, Pedro Garcia-Fortea4, 5 , Ana Isabel Garcia Salguero2 and Antonio Fernandez de Rota Conde3

(1)  Department of Radiology, Hospital Virgen de la Victoria, Campus Universitario de Teatinos s/n, Málaga, 29010, Málaga, Spain
(2)  Department of Pathology, Hospital Virgen de la Victoria, Campus Universitario de Teatinos s/n, Málaga, 29010, Málaga, Spain
(3)  Department of Orthopedic Surgery and Traumatology, Hospital Virgen de la Victoria, Campus Universitario de Teatinos s/n, Málaga, 29010, Málaga, Spain
(4)  Hospital Materno-Infantil (H.R.U.Carlos Haya), Calle Isaías Carrasco Miguel 24, Torremolinos, 29620, Málaga, Spain
(5)  Calle Isaías Carrasco Miguel 24, Torremolinos, 29620, Málaga, Spain
History

A 43-year old man had a 2-cm soft tissue mass in the left lower leg that had doubled in size over the previous year. It was painless, hard, firm and deeply attached. Radiography (Fig. 1), computed tomography (Fig. 2) and gadolinium-enhanced magnetic resonance imaging (Fig. 3) were performed. Histopathology is also shown (Fig. 4). What is the diagnosis?
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Fig. 1 Anteroposterior view of the tibia and fibula

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Fig. 2 Computed tomography. Sagittal reconstruction

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Fig. 3 Axial planes. a Computed tomography. MRI: 3D T1-weighted sequence with fat saturation, b pre- and c post-administration of intravenous gadolinium

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Fig. 4 Hematoxylin and eosin, ×2

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