A Huge Angioleiomyoma of the Finger

Mok, Jason Churk Yan; Fan, Ka Yuk; Lui, Tun Hing

doi:10.1142/s0218810415720119

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…They usually arise in females between 30 and 60 years of age, and are also referred to as angiomyomas or vascular leiomyomas. 8 They usually present as uncomfortable slow-growing solitary nodules within an extremity, [9][10][11][12][13] but there have been reports of angioleiomyomas in the nipple, hard palate, labia majora, pinna, and sella. 8 They are painful in 60% of cases, probably due to the stretching of nerves within the tumour, or the release of mast cell mediators.…”

Section: Discussionmentioning

confidence: 99%

Angioleiomyoma within the first intermetatarsal space of the foot

Edwards

Kingsford

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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Angioleiomyomas are uncommon benign tumours of smooth muscle that usually occur in the extremities. They are difficult to diagnose preoperatively as their clinical and radiological presentation is ambiguous and inconclusive. A degree of suspicion should be maintained in patients who present with slow growing soft tissue tumours of the extremities. A 59-year-old female was referred to our clinic reporting a 12-month history of an asymptomatic, progressively enlarging soft-tissue mass within the plantar aspect of the primary intermetatarsal space of the left forefoot. Her preoperative diagnostic ultrasound suspected a neuroma-bursa complex arising from the deep peroneal nerve. Excision and histopathology confirmed a diagnosis of angioleiomyoma.

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Section: Discussionmentioning

confidence: 99%

Angioleiomyoma within the first intermetatarsal space of the foot

Edwards

Kingsford

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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“…7,24,25 Some angioleiomyomas may grow to be huge and develop calcification, hemorrhage, hyalinization, or myxoid degeneration. 7,14,26,27 Clinically, it is difficult to differentiate an angioleiomyoma from other subcutaneous lesions of the hand. There are no distinctive symptoms or signs except for pain and/or tenderness, and lesions in the hand are less commonly painful than lesions in the lower limb.…”

Section: Discussionmentioning

confidence: 99%

“…7,24,25 Some angioleiomyomas may grow to be huge and develop calcification, hemorrhage, hyalinization, or myxoid degeneration. 7,14,26,27…”

Section: Discussionmentioning

confidence: 99%

Angioleiomyoma of the hand with nerve compression

Jin

Lü

2020

J Int Med Res

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Objective This study was performed to analyze the clinical, radiographic, and pathological features of hand angioleiomyoma causing nerve compression and assess the outcomes of surgical excision. Methods This case series included three men and one woman (mean age, 53.3 years; range, 49–56 years). The patients’ chief complaint was numbness of the fingers. The patients’ medical histories were reviewed, and the diagnosis of angioleiomyoma with nerve compression was confirmed by means of imaging examination and pathological analysis. Results Three tumors occurred in the palm and one in the finger, and the average maximum tumor diameter was 1.8 cm (range, 0.8–2.6 cm). Preoperative magnetic resonance imaging demonstrated well-defined masses with isointense signals on T1 sequences, hyperintense signals on T2 sequences, and strong heterogeneous enhancement after injection of contrast material. All tumors were located near nerves, leading to nerve compression. The diagnosis of angioleiomyoma was confirmed by postoperative pathology. Finger sensation recovered and no recurrence was found during an average follow-up of 37 months (range, 25–59 months). Conclusions Angioleiomyoma should be considered among the differential diagnoses of hand tumors and timely resection should be performed, particularly if the mass is causing numbness and/or pain with positive Tinel’s sign and/or tenderness.

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“…Angioleiomyomas are rarely diagnosed before excision and histopathological study conducted due to its rarity and vast differential diagnosis, including glomus tumor, traumatic neuroma, angiolipoma and hemangioma [1,[6][7][8]. Due to rare cases of angioleiomyomas arising from blood vessels, preoperative imaging must be obtained to exclude that possibility to allow better surgical planning.…”

Section: Discussionmentioning

confidence: 99%