Angioleiomyomas of the Hand

Abstract

We have reviewed a series of 14 angioleiomyomas of the hand. Unlike angioleiomyomas elsewhere, those occurring on the hand are less commonly painful, have an equal sex distribution and are not predominantly of the solid type as seen in the lower limb. We were unable to find a strong association between histological appearance and clinical presentation. We were able to demonstrate nerve fibres within angioleiomyomas, which have not been reported previously.

A Huge Angioleiomyoma of the Finger

“…Others have suggested that the lesions are hamartomas or arise from smooth muscle proliferation in a hemangioma. 2,3) When occur in the extremities, it is more commonly seen in lower limbs than upper limbs.…”

“…2) Pain and tenderness was present in half of the patient and this was one of the characteristics of this tumor. 2,3) In the digit it frequently located near the neurovascular bundle and is not seen distal to the DIP joint, which help differentiating a vascular leiomyoma from a glomus tumor. 2,3) Most of the tumors presented as small lesions with an average size of 1-2 cm.…”

“…2,3) In the digit it frequently located near the neurovascular bundle and is not seen distal to the DIP joint, which help differentiating a vascular leiomyoma from a glomus tumor. 2,3) Most of the tumors presented as small lesions with an average size of 1-2 cm. 2,3) There was no description about the natural history of untreated angioleiomyoma.…”

“…2,3) Most of the tumors presented as small lesions with an average size of 1-2 cm. 2,3) There was no description about the natural history of untreated angioleiomyoma. In this case, it demonstrated that given enough time the tumor could grow further and up to the size in our case.…”

“…This may be a result of tumor necrosis due to the size of the tumor. Because there is no diagnostic clinical or radiological feature of this tumor, definite diagnosis should depend on its characteristic histological features which compose of smooth muscle and vascular channels together with lack cytological atypia and mitotic activity 2,3). …”