Angioleiomyoma within the first intermetatarsal space of the foot

Abstract

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.

Vascular Leiomyoma overlying the Abductor Hallucis: A case report

“…Angioleiomyoma or vascular leiomyoma can occur anywhere in the body, with a predilection for the lower extremity in approximately 70% of cases (5). Vascular leiomyoma is a rare benign foot and ankle tumor accounting for approximately 0.2% (3,8). Due to the low incidence, clinical awareness of this lesion is low and preoperative diagnosis is often difficult.…”

“…Numerous foot and ankle locations have been reported in the literature following excisional biopsy. These include; tarsal tunnel (3), subfascia of lower leg (5), second intermetatarsal space (2), dorsal medial midfoot (6), lateral malleolus (7), first intermetatarsal space (8,9) plantar proximal webspace (10), posterior heel (11,12,13), inferior heel (1,14), hallux (15), plantar aspect of the second intermetatarsal region (15), third digit (15) and plantar medial arch (16).…”