A painful, vascularised tumour of the calf

Abstract

SummaryThe case of a 39-year old female patient, presenting a painful, well-vascularized tumour located in the subcutaneous tissue of the right calf, is reported. Due to the painfulness and tumour size progression an excision with primary wound closure (by buried sutures) was performed. The tumour showed histological features characteristic for an angioleiomyoma. Particularly middle-aged women are affected by an angioleiomyoma which represents a benign, mesenchymal tumour mostly located on the lower extremities. Differential diagnosis in painful tumours of the skin should include this entity. Because of the painfulness of the tumour primary excision is mostly recommended. In the majority of cases the diagnosis is made histologically.