Diagnosis and Surgical Treatment of Cavernous Sinus Angioleiomyoma: A Report of Four Cases

He, Kangmin; Chen, Liang; Zhu, Wei; Cheng, Haixia; Wang, Yin; Mao, Ying

doi:10.1093/jjco/hyu138

Japanese Journal of Clinical Oncology

2014

DOI: 10.1093/jjco/hyu138

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Diagnosis and Surgical Treatment of Cavernous Sinus Angioleiomyoma: A Report of Four Cases

Kangmin He

Liang Chen

Wei Zhu

et al.

Abstract: The initial symptom of cavernous sinus angioleiomyoma was repeated headache. The tumor seems extremely hyperintense on a T2-weighted image and expansive growth is pushing away the internal carotid artery rather than encasing it. It was progressively enhanced from one side after gadolinium injection. Surgical treatment based on an epidural approach had an excellent outcome in tumor resection and nerve protection.

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Cited by 8 publications

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Intracranial angioleiomyoma: a case series of seven patients and review of the literature

Ivren,

Cherkezov,

Reuss

et al. 2024

J Neurooncol

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Purpose Angioleiomyoma, predominantly arising from the extremities, is a benign soft tissue tumor. Reports on its intracranial location are rare. We assessed clinical, radiological, and pathological features of intracranial angioleiomyoma (iALM) treated at our neurosurgical institution. Methods We consecutively enrolled all patients with neuropathologically confirmed iALM treated at a single neurosurgical institution between 2013 and 2021. Clinical and imaging data were collected, and histological tissue sections were analyzed. A review of the literature on iALM was conducted. Results Seven patients with iALM (four female) with a median age of 45 years (range: 32–76 years) were identified. In three cases, the lesion was found incidentally. In magnetic resonance imaging (MRI), all tumors were hypo- to isointense on T1-weighted, hyperintense on T2-weighted sequences, and gadolinium-enhancing. A strong FLAIR signal was seen in six patients. Surgery consisted of gross total resection in all cases without perioperative complications. Neuropathological staining was positive for smooth muscle actin (SMA) in all lesions. Mature smooth muscle cells arranged around blood vessels were typically observed. The Ki-67 index was ≤ 3%. The patients were discharged after a median of 6 days (range: 4–9 days). During a median follow-up time of 14 months (range: 4–41 months), no tumor recurrence occurred. In the current literature, 42 additional cases of iALM were identified. Conclusion Intracranial angioleiomyoma is a benign soft tissue tumor treated by gross total resection. Tumor morphology and positive staining for SMA lead to the neuropathological diagnosis.

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Intracranial angioleiomyoma: a case series of seven patients and review of the literature

Ivren,

Cherkezov,

Reuss

et al. 2024

J Neurooncol

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Primary Intracranial Angioleiomyomas as Rare, Nonmalignant, and Distinct Neoplastic Entities: A Series of 8 Cases and a Literature Review

Xie

et al. 2018

World Neurosurgery

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Tentorial Angioleiomyoma: A Rare Neurosurgical Entity. Case Report and Review of the Literature

et al. 2019

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Diagnosis and Surgical Treatment of Cavernous Sinus Angioleiomyoma: A Report of Four Cases

Cited by 8 publications

References 16 publications

Intracranial angioleiomyoma: a case series of seven patients and review of the literature

Intracranial angioleiomyoma: a case series of seven patients and review of the literature

Primary Intracranial Angioleiomyomas as Rare, Nonmalignant, and Distinct Neoplastic Entities: A Series of 8 Cases and a Literature Review

Tentorial Angioleiomyoma: A Rare Neurosurgical Entity. Case Report and Review of the Literature

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