Congenital Cutaneous Angioleiomyoma

Abstract

Congenital cutaneous angioleiomyoma is an extremely rare benign smooth muscle tumor. We present a case of a firm, painful subcutaneous mass noticed at birth on the left leg that on surgical excision proved to be an angioleiomyoma. Prognosis is good, and recurrences are uncommon. To our knowledge, this is the second report of a congenital angioleiomyoma.

Acral and digital angioleiomyomata: 14‐year experience at the Cleveland Clinic and review of the literature

“…Angioleiomyomata are solitary, well‐demarcated subcutaneous lesions classically found on the lower extremities but which also present on the head, trunk and upper extremities . Tumors have been reported in both male and female patients of all ages including at least 1 report of congenital angioleiomyoma; however, tumors primarily affect those in the fourth to sixth decades and are seen more often in women than men . The demographics of the acral and digital angioleiomyomata have been less well described.…”

Painful nodule on the leg

“…The tumour usually arises in the lower limb, with < 10% occurring in the upper limb; the latter also occurs most commonly in men . AL has no distinguishing clinical features, and is therefore difficult to differentiate from other dermal lesions . Most ALs are initially painless but become painful over time.…”

“…Recurrence of the tumour is rare. If the tumour recurs, the possibility of a leiomyosarcoma should be considered …”

“…2,5 AL has no distinguishing clinical features, and is therefore difficult to differentiate from other dermal lesions. 6 Most ALs are initially painless but become painful over time. The pain is frequently paroxysmal, and is often described by the patient as sharp or pinching in character.…”