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Mohan S, Krishnan R. Angioleiomyoma in a 54-year-old Female: A Case Report of Distal Leg Tumor and Review of the Literature. J Orthop Case Rep 2023; 13:130-132. [PMID: 38162340 PMCID: PMC10753680 DOI: 10.13107/jocr.2023.v13.i12.4106] [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: 09/28/2023] [Revised: 10/17/2023] [Indexed: 01/03/2024] Open
Abstract
Introduction Angioleiomyomas are rare benign tumors originating from smooth muscle cells of blood vessels. Although they can occur in various anatomical locations, angioleiomyomas of the distal leg are relatively uncommon. Due to its clinical resemblance to other soft-tissue tumors, misdiagnosis can occur leading to inadequate treatment. Case Report We present a case of angioleiomyoma in a 54-year-old female who presented with a palpable mass in her distal leg. The tumor was surgically excised, and histopathological examination confirmed the diagnosis of angioleiomyoma. In this article, we discuss the clinical presentation, diagnostic evaluation, and management of angioleiomyoma, with a focus on distal leg tumors. Furthermore, we provide a comprehensive review of the existing literature on angioleiomyomas, emphasizing findings and treatment outcomes reported in previous studies. Conclusion Angioleiomyomas are uncommon soft-tissue tumors that can mimic other more common lesions such as ganglion cysts. Hence, diagnosis requires a high index of suspicion. Surgical excision is the treatment of choice for angioleiomyoma. Complete resection is generally curative, with a low rate of recurrence.
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Affiliation(s)
- Sandeep Mohan
- Department of Orthopedics, St Joseph’s Hospital, Karuvanchal, Kannur, Kerala, India
| | - Rahul Krishnan
- Department of Orthopedics, Co-operative Hospital Taliparamba, Kannur, Kerala, India
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Warburton C, Patel N, Harris G, Gabor N, Rosenberg AE, Dodds SD, Jose J. Angioleiomyoma in a 52-year-old female wrist: A case report. Radiol Case Rep 2023; 18:2663-2666. [PMID: 37287719 PMCID: PMC10242484 DOI: 10.1016/j.radcr.2023.05.021] [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: 04/16/2023] [Accepted: 05/04/2023] [Indexed: 06/09/2023] Open
Abstract
Angioleiomyoma is a benign soft tissue tumor arising from vascular smooth muscle and most commonly presents in the lower extremities. We report a case of a 52-year-old right-hand dominant woman who presented with a 2-year history of intermittent, nonradiating left wrist pain, which she described as achy in nature without numbness or tingling. A focused physical examination revealed no edema, no obvious skin changes; there was tenderness over the volar-radial aspect of the left wrist, with an underlying firm, mobile, and palpable soft tissue mass. There was no prior history of trauma or surgery to the affected area. Ultrasound (US) examination demonstrated a 0.6 × 0.6 × 0.4 cm well-defined, oval, hypoechoic soft tissue mass within the volar radial soft tissues of the left wrist. The lesion abutted the radial artery without signs of calcification or necrosis. Color Doppler showed little to no vascularity within the mass nor radial artery thrombosis. Histological analysis revealed an angioleiomyoma arising from the radial artery wall. A case presentation like this would most commonly be due to a volar ganglion cyst; however, it is important to consider other soft tissue masses in differential diagnosis, such as angioleiomyoma, as treatment varies significantly.
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Affiliation(s)
| | - Nikhil Patel
- Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Griffin Harris
- Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Noah Gabor
- Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Andrew E. Rosenberg
- Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Seth D. Dodds
- Department of Orthopaedic Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USA
| | - Jean Jose
- Department of Radiology, University of Miami/Jackson Memorial Hospital, Miami, FL, USA
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Bodapati VS, Sunderamoorthy D. Angioleiomyoma-rare soft tissue tumor of the foot and ankle, review of two patients and review of the literature. J Surg Case Rep 2021; 2021:rjab535. [PMID: 34909169 PMCID: PMC8666195 DOI: 10.1093/jscr/rjab535] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 10/21/2021] [Accepted: 11/07/2021] [Indexed: 11/13/2022] Open
Abstract
Angioleiomyomas are relatively rare benign soft tissue tumors which often occur in the extremities. The true etiology is largely unknown and is seldom associated with pain. They are rarely diagnosed preoperatively as the clinical and radiological examinations are often nonspecific and inconclusive. The patients may face a considerable delay before a specialist treatment is sought due to the varied presentation/missed diagnosis preoperatively. This delay highlights the need for better characterizing the diagnosis and treatment of angioleiomyomas in clinical setting to expand awareness of this pathology, the differential diagnosis of lower extremity soft tissue tumors and the need for ongoing publication of such case reports. We wish to present two patients who came in with foot and ankle swellings and heel pain. Post-excision, these swellings were histologically diagnosed as benign angioleiomyomas.
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Ho K, Ireland M, Armanasco PS. Rare Case of a Very Large Angioleiomyoma of the Dorsum Foot. Cureus 2021; 13:e14525. [PMID: 34007773 PMCID: PMC8121210 DOI: 10.7759/cureus.14525] [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] [Indexed: 11/05/2022] Open
Abstract
Angioleiomyomas are relatively rare benign smooth muscle soft tissue tumors which often occur on the extremities. They are rarely diagnosed preoperatively as clinical and radiological examination is often nonspecific and inconclusive. An 80-year-old male presented with a 10-year history of a progressively growing and symptomatic lesion on his right dorsal foot within the first intermetatarsal space. The preoperative diagnosis was suspected to be a neurogenic schwannoma arising from the deep peroneal nerve. Simple excision and histopathology confirmed a diagnosis of angioleiomyoma with nil recurrence or complications. The size of the angioleiomyoma was the second largest reported in literature to date. Angioleiomyomas are often misdiagnosed, and a degree of suspicion should be maintained in patients presenting with lower extremity growing soft tissue tumors.
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Affiliation(s)
- Kevin Ho
- Podiatric Medicine, The University of Western Australia, Perth, AUS.,Podiatric Surgery, Australasian College of Podiatric Surgeons, Perth, AUS
| | | | - Paul S Armanasco
- Podiatric Surgery, Australasian College of Podiatric Surgeons, Perth, AUS
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Byun GY, Koo BH, Lee SG, Kim MJ, Lee SR. Laparoscopic removal of rare variant of leiomyoma in the female inguinal canal: a report of two cases. J Surg Case Rep 2019; 2019:rjz242. [PMID: 31462985 PMCID: PMC6705447 DOI: 10.1093/jscr/rjz242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 07/23/2019] [Indexed: 12/02/2022] Open
Abstract
Angioleiomyoma and lipoleiomyoma are rarely found tumors in the inguinal canal. We present two cases of laparoscopic removal of angioleiomyoma and lipoleiomyoma in the female inguinal canal. In Case 1, a 35-year-old woman was admitted to our hospital with left inguinal swelling and intermittent pain. A hypoechoic well-marginated mass was observed on ultrasonography. Laparoscopic complete tumor excision and posterior wall repair were performed, and a diagnosis of angioleiomyoma was confirmed on histopathological evaluation. In Case 2, a 55-year-old woman was admitted with a painful right inguinal swelling. A hypoechoic well-marginated ovoid mass was observed on ultrasonography. Laparoscopic complete tumor excision and posterior wall repair were performed, and a diagnosis of lipoleiomyoma was confirmed on histopathological evaluation. Laparoscopic tumor excision and posterior wall repair are effective treatments of leiomyomas in the inguinal canal.
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Affiliation(s)
| | - Bum Hwan Koo
- Department of Surgery, Damsoyu Hospital, Seoul, Korea
| | | | | | - Sung Ryul Lee
- Department of Surgery, Damsoyu Hospital, Seoul, Korea
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Buddemeyer K, McKissack HM, Farnell C, Robin JX, Qarmali M, Basetty CR, Washburn P, Moraes LV, Shah A. Leiomyoma of the Foot: A Case Report. Cureus 2018; 10:e3419. [PMID: 30542633 PMCID: PMC6284871 DOI: 10.7759/cureus.3419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Leiomyomas are benign tumors of smooth muscle origin. They are most commonly found in the uterus, but cutaneous leiomyomas may be occasionally present in the extremities and cause pain secondary to mass effect. Few studies have reported leiomyoma of the foot, and leiomyoma of the heel is particularly rare. We present a case of a 41-year-old female who presented to our clinic for a tender nodule on the posterior aspect of her right heel. The tumor was surgically excised and biopsied revealing cutaneous leiomyoma.
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Affiliation(s)
| | | | - Chason Farnell
- Miscellaneous, University of Alabama at Birmingham, Birmingham, USA
| | - Joseph X Robin
- Orthopaedics, University of Alabama at Birmingham, Birmingham, USA
| | - Morad Qarmali
- Pathology, University of Alabama at Birmingham, Birmingham, USA
| | | | - Perry Washburn
- Miscellaneous, University of Alabama at Birmingham, Birmingham, USA
| | - Leonardo V Moraes
- Orthopedics, Instituto De Assistência Médica Ao Servidor Público Estadual, São Paulo, BRA
| | - Ashish Shah
- Orthopaedics, University of Alabama at Birmingham, Birmingham, USA
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Son JH, Kim HJ, Jung MJ, Choi YW, Chung BY, Kim HO, Park CW. A Case of Vascular Leiomyoma on the Heel: A Rarely Seen Benign Soft Tissue Tumor with Brief Reviews. Ann Dermatol 2018; 30:491-493. [PMID: 30065598 PMCID: PMC6029948 DOI: 10.5021/ad.2018.30.4.491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Revised: 08/23/2017] [Accepted: 08/28/2017] [Indexed: 11/19/2022] Open
Affiliation(s)
- Jee Hee Son
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
| | - Hyun Ji Kim
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
| | - Min Je Jung
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
| | - Yong Won Choi
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
| | - Bo Young Chung
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
| | - Hye One Kim
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
| | - Chun Wook Park
- Department of Dermatology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
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Chronopoulos E, Pallis D, Georgiou DF, Zafeiris C, Babis GC. Angioleiomyoma: an unusual cause of thigh pain. JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS 2018; 18:268-271. [PMID: 29855450 PMCID: PMC6016494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Efstathios Chronopoulos
- 2ndUniversity Orthopaedic Department, National and Kapodistrian University of Athens, Medical School, Konstantopoulio General Hospital, N. Ionia, Athens, Greece,Corresponding author: Efstathios Chronopoulos, Konstantopoulio General Hospital, N. Ionia, Agias Olgas 3-5, 14233 Athens, Greece E-mail:
| | | | | | | | - George Christos Babis
- 2ndUniversity Orthopaedic Department, National and Kapodistrian University of Athens, Medical School, Konstantopoulio General Hospital, N. Ionia, Athens, Greece
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Baarini O, Gilheany M. Angioleiomyoma of the Plantar-Medial Arch: A Case Report. J Clin Diagn Res 2016; 10:PD07-8. [PMID: 27630899 DOI: 10.7860/jcdr/2016/19988.8112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 05/16/2016] [Indexed: 11/24/2022]
Abstract
An angioleiomyoma is a benign soft tissue tumour that arises from smooth muscle layer of blood vessels. The true aetiology of these masses is largely unknown and quite often may not be associated with pain. This paper illustrates the occurrence of an angioleiomyoma in the medial arch of the foot, a previously unreported location. Significant delay occurred in the patient being referred for specialist consultation, after attending numerous general practitioners for management. This highlighted the need for ongoing publication for case reports of this nature. The patient underwent excision with no recurrence of the lesion reported at 12 months. Often masses of this type may be left alone. However, when symptomatic simple excision will suffice where no other surrounding complication exists and where the mass is well encapsulated in the sub cutaneous area.
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Affiliation(s)
- Omar Baarini
- Senior Registrar, Australasian College of Podiatric Surgeons , Australia
| | - Mark Gilheany
- Fellow, Australasian College of Podiatric Surgeons , Australia
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