AI Article Synopsis
- - A 49-year-old morbidly obese female was found to have a large myxoid liposarcoma in her thigh, initially mistaken for a hematoma due to recent anticoagulant therapy.
- - The mass was challenging to detect during physical examination because of surrounding excess fat.
- - Accurate diagnosis was ultimately achieved by overcoming initial biases and applying adaptive expertise during the evaluation process.
Article Abstract
We report the case of a morbidly obese 49-year-old female found to have a 16×14×10 cm high grade myxoid liposarcoma of the thigh initially diagnosed as a hematoma. Recent initiation of rivaroxaban for a coincident ipsilateral popliteal vein thrombosis placed hematoma high in the differential diagnosis. Despite its large size, the mass was not directly appreciable on physical exam due to excess adjacent adipose tissue. Diagnostic success was achieved only after anchoring bias was abandoned and adaptive expertise was applied.
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| http://dx.doi.org/10.1515/dx-2018-0092 | DOI Listing |
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