A 50-year-old woman presented to our clinic complaining of bilateral disfiguring of lower extremity by swelling and masses. She had been well until 30 years of age when she first noticed a feeling of heaviness in her legs and a need for progressively larger shoe sizes. A pitting edema had developed over the dorsum of her feet and progressed to non-pitting edema involving both her lower extremities, always more pronounced on the right side...