1
|
Joshi TP, Diwan AH, Ren V. Tender Subcutaneous Nodule on the Plantar Heel: Answer. Am J Dermatopathol 2023; 45:725. [PMID: 37732688 DOI: 10.1097/dad.0000000000002525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023]
Affiliation(s)
- Tejas P Joshi
- School of Medicine, Baylor College of Medicine, Houston, TX; and
| | - Abdul Hafeez Diwan
- Departments of Pathology and Immunology, and
- Dermatology, Baylor College of Medicine, Houston, TX
| | - Vicky Ren
- Dermatology, Baylor College of Medicine, Houston, TX
| |
Collapse
|
2
|
Matos M, Soares S, Agaoua M. Current Concepts of Foot and Ankle Angioleiomyoma. J Foot Ankle Surg 2023:S1067-2516(23)00033-9. [PMID: 36941142 DOI: 10.1053/j.jfas.2023.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 01/22/2023] [Accepted: 02/02/2023] [Indexed: 03/23/2023]
Abstract
Angioleiomyoma is a benign tumor, which arises from the smooth muscle. It comprises approximately 4.4% of all benign soft tissues' neoplasms and they are commonly located at the lower extremities. They are most frequently found in middle-aged women. Angioleiomyoma is usually presented as a painful solitary lesion in the subcutaneous tissue. Due to the lack of evidence in the literature, the aim of this current concepts review was to provide foot and ankle surgeons the most updated and useful information for diagnosis and management of foot or ankle's angioleiomyoma. The possible diagnosis of angioleiomyoma is rarely thought of before surgery. X-ray, US, MRI, aspiration, scintigraphy, CT and EMG make part of the diagnostic tools available and angioleiomyoma's main characteristics in each of the exams are detailed. Angioleiomyoma cannot be neglected as consequence of delay or mistreatment increases morbidity and the potential risk to malignant transformation.
Collapse
Affiliation(s)
- Michael Matos
- Department of Orthopaedics, Hôpital Fribourgeois, Villars-sur-Glâne, Switzerland
| | - Sérgio Soares
- Department of Orthopaedics, Hôpital Fribourgeois, Villars-sur-Glâne, Switzerland; Foot and Ankle Unit, Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.
| | - Mohand Agaoua
- Department of Orthopaedics, Hôpital Fribourgeois, Villars-sur-Glâne, Switzerland
| |
Collapse
|
3
|
Suárez-Peñaranda JM, Pita da Veiga G, Pérez-Muñoz N, Fernández-Figueras MT. Acral Calcified Vascular Leiomyoma: Report of 3 Cases and Literature Review. Am J Dermatopathol 2021; 43:732-735. [PMID: 34086643 DOI: 10.1097/dad.0000000000001773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Angioleiomyomas are benign neoplasms, which usually present as solitary, slow-growing nodules on the skin of lower extremities, but acral location on the hands or feet is unusual. Yet, microscopically, they may show many histopathological variants, focal calcification is uncommon. Extensive calcification masquerading the real nature of the tumor has been rarely reported, the term acral calcified leiomyoma having been proposed for this entity. This change is more often in distal locations and has been interpreted as degenerative in nature, probably related to repetitive minor trauma. We report 3 examples of this unusual condition on the feet of 2 male and one female subjects (aged, 68, 69, and 80 years) and make a review of the 31 cases available in the literature. Two of our cases are associated with highly uncommon features, such as transepidermal calcium elimination and concomitant calcaneal spur.
Collapse
Affiliation(s)
- Jose M Suárez-Peñaranda
- Department of Pathology, Hospital Clínico de Santiago de Compostela, Santiago, Spain
- Department of Forensic Sciences and Pathology, University of Santiago de Compostela, Santiago, Spain
| | - Gabriela Pita da Veiga
- Department of Dermatology, Hospital Clínico de Santiago de Compostela, Santiago, Spain ; and
| | - Noelia Pérez-Muñoz
- Department of Pathology, Hospital Universitari General de Catalunya, Grupo Quironsalud and Universitat Internacional de Catalunya, Barcelona, Spain
| | - María-Teresa Fernández-Figueras
- Department of Pathology, Hospital Universitari General de Catalunya, Grupo Quironsalud and Universitat Internacional de Catalunya, Barcelona, Spain
| |
Collapse
|
4
|
Hsieh MH, Izumi M, Nakatani Y, Ohara K. Calcified angioleiomyoma – Histopathologic and ultrasonographic analysis of the calcification process. DERMATOL SIN 2021. [DOI: 10.4103/ds.ds_43_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
5
|
Dreyer LMA, Eastman D, Atwood R, Johnson LJT. Exophytic Angioleiomyoma on the Plantar Foot. J Am Podiatr Med Assoc 2020; 110:436383. [PMID: 32556226 DOI: 10.7547/19-013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
A case describing an O-to-Z double-advancement flap used to treat a 62-year-old woman with a slowly enlarging exophytic mass in the plantar aspect of the right foot is presented. Clinical details, surgical technique, and histologic photographs are described. This case report highlights the rare exophytic presentation of a pedal angioleiomyoma, which has not been described in the literature before.
Collapse
|
6
|
Abstract
BACKGROUND Primary leiomyoma is a rare cause of a mass in the hand, with few reported cases to date. To our knowledge, this constitutes the most comprehensive and up-to-date systematic review of the literature of all cases of primary hand leiomyoma. We also provide an additional case recently managed in our practice of confirmed primary vascular leiomyoma of the hand in a 44-year-old woman to add to the current body of literature. METHODS We performed a comprehensive literature review of all articles published on primary leiomyoma of the hand. The PubMed database was used, with search terms leiomyoma hand, angioleiomyoma hand, and angiomyoma hand. Articles were selected for their accuracy in anatomic localization in the hand and confirmed pathology of leiomyoma. RESULTS Our initial search query resulted in 216 articles. After applying the inclusion criteria, we identified 50 individual articles with 108 cases of confirmed primary leiomyoma in the hand from January 1, 1954, to July 1, 2018. Common initial clinical impressions recorded for primary hand leiomyoma included ganglion cyst, giant-cell tumor, hemangioma, and glomus tumor. Patients presenting with leiomyoma of the hand frequently describe a painful lesion, which differs from most other benign tumors of the hand at presentation. CONCLUSIONS Leiomyoma is an important consideration when developing a differential diagnosis for primary benign masses in the hand. We hope that this comprehensive review can provide increased awareness of this tumor type.
Collapse
|
7
|
Abstract
Smooth muscle tumors occur infrequently in the skin. They consist of a diverse group of lesions representing hamartomas as well as benign and malignant neoplasms. They may arise from arrector pili muscle, specialized smooth muscle of the genitalia, or vascular smooth muscle. Although rare, accurate diagnosis and classification of cutaneous smooth muscle proliferations is important as they can exhibit a range of clinical behavior and may be associated with underlying syndromes. This review summarizes the clinicopathologic spectrum of smooth muscle tumors involving the skin.
Collapse
|
8
|
Wollina U, Schönlebe J, Tchernev G, Gianfaldoni S, Lotti T. Cutaneous Angioleiomyoma - A Rare Cause of Posterior Heel Pain: A Case Report. Open Access Maced J Med Sci 2017; 5:436-438. [PMID: 28785326 PMCID: PMC5535651 DOI: 10.3889/oamjms.2017.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2017] [Revised: 04/21/2017] [Accepted: 04/22/2017] [Indexed: 11/05/2022] Open
Abstract
Heel pain is a common presentation in outpatient clinics. Here, we report a 69-year-old woman who complaint about a painful nodule on her left posterior heel. There was no history of trauma. The lesion developed during ten weeks without any bleeding or ulceration. On examination, we observed a subcutaneous firm nodule of about 1 cm in diameter. The lesion was hypoechoic in diagnostic sonography suggesting a fibromatous tumour, which was removed surgically. Histologic investigations confirmed the diagnosis of cutaneous angioleiomyoma. The occurrence of this benign tumour on the heel is quite uncommon but obvious a possible cause for heel pain. During follow-up, no recurrence was observed.
Collapse
Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Academic Teaching Hospital of the Technical University of Dresden, 01067 Dresden, Germany
| | - Jacqueline Schönlebe
- Institute of Pathology "Georg Schmorl", Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, 01067 Dresden, Germany
| | - Georgi Tchernev
- Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, and Onkoderma Policlinic for Dermatology and Dermatologic Surgery, Sofia, Bulgaria
| | | | | |
Collapse
|
9
|
Hammond MI, Miner AG, Piliang MP. Acral and digital angioleiomyomata: 14‐year experience at the Cleveland Clinic and review of the literature. J Cutan Pathol 2017; 44:342-345. [DOI: 10.1111/cup.12890] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Revised: 12/13/2016] [Accepted: 12/26/2016] [Indexed: 01/19/2023]
Affiliation(s)
| | - Andrew G. Miner
- Dermatology and Plastic Surgery InstituteCleveland Clinic Foundation Cleveland Ohio
| | - Melissa P. Piliang
- Dermatology and Plastic Surgery InstituteCleveland Clinic Foundation Cleveland Ohio
| |
Collapse
|
10
|
Díaz-Flores L, Gutiérrez R, Alvarez-Argüelles H, González-Gómez M, García MDP, Díaz-Flores L. Ultrastructure and histogenesis of the acral calcified angioleiomyoma. Ultrastruct Pathol 2015; 40:24-32. [PMID: 26691377 DOI: 10.3109/01913123.2015.1120839] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
We studied the ultrastructure, immunohistochemistry, and histogenesis of the acral calcified angioleiomyoma, observing three concentric zones: (a) pseudocapsular, thin, with spindle-shaped stromal cells (SCs), presenting scarce organelles and expressing CD34, (b) muscular, forming a ring, with smooth muscle cells of heterogenous phenotype (mainly in quantity and thickness of filaments, and in expression of h-caldesmon, αSMA, and desmin), and (c) central, extensive, calcified (spicular and/or star-shaped calcium deposits around collagen fibers), with pericytic involutive vasculature. The intratumoral vessels were thick (several layers of perivascular cells, with a continuum of phenotypes, resembling myopericytoma vessels) and thin (slit-like channels), without adventitial SCs or elastic material. The extratumoral vessels showed adventitial SCs (which contribute to form the tumor pseudocapsule), hyperplasia of the media and intima layers, and/or occlusion of the lumen by a wide, homogenous fibrotic central zone. Histogenetically, the collagenous matrix may act as a mineralization substrate and the calcifying modified pericytes as inductors; intratumoral vessels may originate from the peritumoral vessels or from the vessel where the tumor develops; and extratumoral vessel modifications, mimicking tumor features, concur with a minor repetitive trauma pathogenesis.
Collapse
Affiliation(s)
- Lucio Díaz-Flores
- a Department of Anatomy, Pathology, Histology and Radiology, Faculty of Medicine , University of La Laguna , Tenerife , Spain
| | - Ricardo Gutiérrez
- a Department of Anatomy, Pathology, Histology and Radiology, Faculty of Medicine , University of La Laguna , Tenerife , Spain
| | - Hugo Alvarez-Argüelles
- a Department of Anatomy, Pathology, Histology and Radiology, Faculty of Medicine , University of La Laguna , Tenerife , Spain
| | - Miriam González-Gómez
- a Department of Anatomy, Pathology, Histology and Radiology, Faculty of Medicine , University of La Laguna , Tenerife , Spain
| | | | - Lucio Díaz-Flores
- a Department of Anatomy, Pathology, Histology and Radiology, Faculty of Medicine , University of La Laguna , Tenerife , Spain
| |
Collapse
|
11
|
Blalock TW, Kerr C, DeRienzo DP, Greenway HT. Rare case of acral calcified angioleiomyoma with macroscopic calcium extrusion. Foot Ankle Surg 2015; 21:e36-9. [PMID: 25937420 DOI: 10.1016/j.fas.2015.01.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Revised: 01/11/2015] [Accepted: 01/12/2015] [Indexed: 02/04/2023]
Abstract
Acral calcified angioleiomyoma is an uncommon tumor that presents as a non-descript papule or subcutaneous nodule, classically on the foot. Biopsy or excision is typically the diagnostic method of choice as well as the treatment for these sometimes painful tumors. We report an uncommon clinical presentation of acral calcified angioleiomyoma with considerable extrusion of calcium perforating through the skin.
Collapse
Affiliation(s)
- Travis W Blalock
- Oklahoma University Health Sciences Center, Department of Dermatology, Oklahoma City, OK, United States; Scripps Clinic, Department of Dermatology, La Jolla, CA, United States.
| | - Christy Kerr
- Scripps Clinic, Department of Dermatology, La Jolla, CA, United States
| | - Damian P DeRienzo
- Scripps Clinic, Department of Pathology, La Jolla, CA, United States
| | - Hubert T Greenway
- Scripps Clinic, Department of Dermatology, La Jolla, CA, United States
| |
Collapse
|
12
|
Sampaio FMS, Gualberto GV, Souza PRCD, Lourenço FT, Cerqueira FGMD. Use of the inverted "T" incision to approach a plantar nodular lesion. An Bras Dermatol 2015; 90:134-5. [PMID: 25672316 PMCID: PMC4323715 DOI: 10.1590/abd1806-4841.20153419] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 02/10/2014] [Indexed: 11/22/2022] Open
Abstract
Knowledge of the inverted "T" incision - used in plastic, oncologic and
orthopedic surgery - has allowed its adaptation for the diagnostic assessment
and therapeutical approach of acral, nodular lesions. The authors describe the
use of this technique for the surgical approach of a patient with a plantar
nodular lesion, further diagnosed as a calcified angioleiomyoma.
Collapse
|
13
|
Montague LJ, Fitzpatrick SG, Islam NM, Cohen DM, Bhattacharyya I. Extensively ossifying oral leiomyoma: a rare histologic finding. Head Neck Pathol 2013; 8:311-6. [PMID: 24142598 PMCID: PMC4126913 DOI: 10.1007/s12105-013-0497-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Accepted: 10/11/2013] [Indexed: 10/26/2022]
Abstract
Oral leiomyoma are rare neoplasms of the oral cavity. Ossification within leiomyoma is not unusual but is mostly reported in leiomyoma of the deep soft tissue. Ossifying leiomyoma is extremely rare in the head and neck. We identified a total of three cases of extensively ossified leiomyoma in the head and neck in the literature including lesions in the lateral pterygoid muscle and orbit. To the best of our knowledge, only one case of extensively calcified leiomyoma has been reported in the oral cavity. We present two such rare cases of oral leiomyoma with extensive intratumoral calcifications and ossification. Ossified leiomyoma should be considered in the differential diagnosis of calcified or hard/firm soft tissue masses in the oral cavity.
Collapse
Affiliation(s)
- Lindsay J. Montague
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Sarah G. Fitzpatrick
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Nadim M. Islam
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Donald M. Cohen
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| | - Indraneel Bhattacharyya
- grid.15276.370000000419368091Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, University of Florida, PO Box 100414, Gainesville, FL 32610 USA
| |
Collapse
|
14
|
Gajanthodi S, Rai R, Chaudhry RK. Vascular leiomyoma of foot. J Clin Diagn Res 2013; 7:571-2. [PMID: 23634427 DOI: 10.7860/jcdr/2013/4457.2829] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Accepted: 11/01/2012] [Indexed: 11/24/2022]
Abstract
Vascular leiomyomas of the foot are relatively rare benign soft tissue tumours which arise from the tunica media and present as painful or painless solitary subcutaneous nodules. We are reporting a rare case of vascular leiomyoma with a dystrophic calcification and a myxoid change.
Collapse
|
15
|
Abstract
The differential diagnosis of heel pain is extensive. The plantar heel pain is usually due to mechanical etiology, including plantar fasciitis, calcaneal spur, stress fracture, and nerve entrapment. Tumor is a rare cause of plantar heel pain. We present a case of chronic plantar heel pain with a vascular leiomyoma at the heel pad.
Collapse
Affiliation(s)
- Man-hong Steve Cheung
- Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China
| | | |
Collapse
|
16
|
Gómez-Bernal S, Rodríguez-Pazos L, Concheiro J, Ginarte M, Toribio J. Calcified acral angioleiomyoma. J Cutan Pathol 2010; 37:710-1. [DOI: 10.1111/j.1600-0560.2009.01367.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|