Deep soft-tissue leiomyoma of the forearm mimicking a primary bone tumor of the ulna

Ramachandran, Rajoo; Rangaswami, Rajeswaran; Raja, Dorai Kumar; Gouthaman, Shanmugasundaram

doi:10.2484/rcr.v9i3.960

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…This tumour usually shows calcification in 58% of the cases [ 6 ]. Leiomyomas in the skeletal muscles have been described in 12 children so far in case reports and case series [ 1 , 2 , 6 – 11 ] including our case report ( Table 1 ). The only instances where such tumours were reported in the forearm of an adult is of a 25-year-old female [ 12 ].…”

Section: Discussionmentioning

confidence: 79%

Calcified Leiomyoma of the Distal Forearm in a Child: A Case Report and Review of Literature

Perera

Wijayasinghe

Dissanayake

et al. 2020

Case Reports in Orthopedics

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Background. Deep somatic leiomyomas arising in skeletal muscle are extremely rare in children, especially in the extremities. Around half of them show calcifications. We present a rare case of a calcified leiomyoma of the distal forearm in a child. Case Summary. A seven-year-old boy presented with right distal forearm and wrist pain with restricted supination for 4 years. X-ray showed ring and arc calcifications in the distal forearm at the interosseous area. MRI also confirmed a well-defined soft tissue lesion with areas of calcifications. A diagnosis of a cartilage-forming lesion or a peripheral nerve sheath tumour was suggested. The lesion was completely excised. Histology showed a lesion composed of intersecting fascicles of spindle cells with stromal calcification having immunohistochemical features of a leiomyoma. Conclusion. Although soft tissue calcifications can be seen in a plethora of conditions seen in daily orthopaedic practise, a high index of suspicion should be maintained for rare conditions like deep somatic leiomyoma.

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Section: Discussionmentioning

confidence: 79%

Calcified Leiomyoma of the Distal Forearm in a Child: A Case Report and Review of Literature

Perera

Wijayasinghe

Dissanayake

et al. 2020

Case Reports in Orthopedics

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“…In fact, calcification occurs in approximately one third of cases [ 1 ]. Further differential diagnoses were Ewing sarcoma [ 2 ], lipoma, leiomyosarcoma, schwannoma, neurofibroma, hemangioma, and soft-tissue giant-cell tumor of the tendon [ 9 ]. In our case, differential diagnosis included arthritis due to the initial isolated swelling of the ankle and foot.…”

Section: Discussionmentioning

confidence: 99%

“…Similar findings were described by Ramachandran et al . [ 9 ] in a case report of DSTL of the forearm. Interestingly, in our specimen, a low expression of CD34 was discovered.…”

Section: Case Reportmentioning

confidence: 99%

“…The articles were divided into case reports about DSTL of the lower extremities [ 3 , 4 , 7 , 8 , 10–16 ] ( Table 1 ), upper extremities [ 2 , 9 , 17–21 , 22 ] ( Table 2 ), other locations [ 23–33 ] ( Table 3 ) and case series [ 34–38 ] ( Table 4 ). In summary, of all publications found, the extremities were involved in 35 cases.…”

Section: Case Reportmentioning

confidence: 99%

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Incidental deep soft tissue leiomyoma of the groin – a case report and comprehensive review of literature

Nessenius,

Zucal,

Allmann

et al. 2024

Journal of Surgical Case Reports

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Leiomyomas are rare, benign tumors arising from smooth muscle cells. Due to the heterogeneous anatomical locations, as well as clinical and radiological findings, early and correct diagnosis is usually tricky. The clinical symptoms depend on the anatomical structure the tumors are compromising by their growth. We present a case of a 53-year-old male patient who suffered from swelling of the right foot and ankle. Initially, arthritis and deep vein thrombosis were ruled out. As the swelling progressed to the entire leg, CT scan was performed showing a tumor compressing the right femoral vein. However, a magnetic resonance imaging (MRI) and a biopsy did not show any conclusive findings. Tumor excision was planned and immunohistochemical staining confirmed leiomyoma. The authors conclude that unspecific, progressive symptoms should prompt further investigation and whenever planning a biopsy, a possible malignant finding should be considered and excision of the biopsy canal together with the tumor must be assured.

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“…A differential diagnosis of the leiomyoma includes a giant cells tumor of the tendon sheath, ganglion cyst, foreign body granuloma, myxoid cyst, inclusion cyst, glomus tumor, angiolipoma, schwannoma, hemangioma, and fibromatosis (3,12). Leiomyomas mostly have well-demarcated borders.…”

Section: Discussionmentioning

confidence: 99%

Leiomyoma of the hand in an adolescent

Karaman¹

2019

Erciyes Med J

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Leiomyoma of the Hand in an Adolescent Leiomyoma is a solitary benign tumor of the smooth muscle and vascular tissue. It can occur anywhere in the body where smooth muscles are present, although it is seen in <1% of all soft tissue tumors of the upper extremities. It is rarely reported in the hand or in children and is usually seen in patients aged 5-84 years and in males. In this report, we describe the case of a 16-year-old patient presenting with leiomyoma of the hand.

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Deep soft-tissue leiomyoma of the forearm mimicking a primary bone tumor of the ulna

Cited by 7 publications

References 10 publications

Calcified Leiomyoma of the Distal Forearm in a Child: A Case Report and Review of Literature

Calcified Leiomyoma of the Distal Forearm in a Child: A Case Report and Review of Literature

Incidental deep soft tissue leiomyoma of the groin – a case report and comprehensive review of literature

Leiomyoma of the hand in an adolescent

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