A 33‑year‑old gentleman presented with a solitary swelling over the left calf. On examination, he had a 3 cm × 2 cm, solitary swelling over a skin grafted area on the posterior aspect of the left leg which was non-tender, firm in consistency, and had well-defined borders [Figure 1c]. The detailed evaluation revealed that the patient was operated for a non-metastatic intermediate grade spindle cell sarcoma of the contralateral leg 8 years earlier [Figure 1a]. He underwent wide excision of the primary tumor with a reconstruction of the defect with a cross-leg flap at another hospital.
The donor site over the left calf was covered with a split‑thickness skin graft harvested from the thigh of the same side. Postoperatively he received radiotherapy to the primary area. 8 years later, he developed a swelling over the left calf at the skin graft donor site . He was additionally evaluated with…
