Clinical findings:
Physical examinations revealed an unwell, cachexic, vitally-stable patient who was pale but not jaundiced or cyanosed. The skin was shiny, tense with multiple dilated veins beside a surgical scar of previous surgery. Whole thigh was tense and swollen from hip to knee (Fig 1). The mass was firm and attached to skin and deep structure. No inguinal lymphadenopathy, with intact distal neurovascular examination. Limited painful range of motion of hip and knee was found.