Sonographic and Clinical Features of Angioleiomyoma Presenting as a Painful Achilles Tendon Mass

Smith, Jay; Wisniewski, Stephen J.; Lee, Robert A.

doi:10.7863/jum.2006.25.10.1365

Cited by 11 publications

(12 citation statements)

References 9 publications

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“…An angioleiomyoma is a form of leiomyoma that typically occurs as a solitary subcutaneous lesion most commonly seen in the lower extremities 1 . The lesions are small (<2 cm), slow‐growing, firm, and mobile nodules 4 .…”

Section: Discussionmentioning

confidence: 99%

“…Angioleiomyomas (also known as angiomyomas, vascular leiomyomas, and dermal angiomas) are relatively infrequent benign soft tissue tumors arising from the smooth muscle cells of vessels that present as small, freely movable, and painful masses 1 . The condition has a female preponderance, with the peak incidence between the third and sixth decades of life 2 .…”

Section: Distribution Of Angioleiomyomas Nonsubungual Glomus Tumorsmentioning

confidence: 99%

“…Treatment typically consists of surgical excision of the mass, which is rarely diagnosed before surgery because sonographic findings are not specific except for hypervascularity. A previous study reported that these lesions show hypervascularity, 1 but a detailed analysis of the vascular pattern was not performed. Many other soft tissue tumors can mimic the gray‐scale and color Doppler imaging typical of angioleiomyomas, including hypervascular soft tissue tumors such as nonsubungual glomus tumors and well‐circumscribed hemangiomas (exclude sonographically poorly defined hemangiomas).…”

Section: Distribution Of Angioleiomyomas Nonsubungual Glomus Tumorsmentioning

confidence: 99%

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Sonographic Appearances of Soft Tissue Angioleiomyomas

Park

Kim

Lee

et al. 2012

Journal of Ultrasound in Medicine

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Objectives The purpose of this study was to evaluate the sonographic features of angioleiomyomas with priority given to the vascular pattern to help in the differential diagnosis from other hypervascular soft tissue tumors. Methods The inclusion criteria for this retrospective and nonblinded study were fulfilled in 33 patients with circumscribed hypervascular soft tissue tumors based on pathologic identification. Thirteen cases were angioleiomyomas; 9 cases were nonsubungual glomus tumors; and 11 cases were hemangiomas. Two musculoskeletal radiologists interpreted the results by consensus. Sonographic findings, including the shape, size, echogenicity, vascular pattern, and vascular density of the angioleiomyomas, were compared with those of the other hypervascular tumors. Vascular patterns were categorized into 3 vascular types: 1, several linear vessels clustered in the tumor with convergence to one point; 2, diffusely scattered irregular vessels in the tumor, and 3, one or more vessels that were centrally located. The vascularity of the mass was also categorized as rich (covering >50% of the area of the lesion), moderate (between 20% and 50%), and little (<20%). Results All of the angioleiomyomas were hypoechoic (100% [13 of 13]), a statistically significant result (P = .001). The type 1 vascular pattern was observed in 69% of the angioleiomyomas (9 of 13; P = .029), and the statistically significant shape was round (38% [5 of 13]; P = .035). Conclusions Most angioleiomyomas reveal a homogeneously hypoechoic echo texture with a circumscribed margin and show straight and linear vessels in the tumor with convergence to one point on color Doppler sonography. These characteristics may be helpful when differentiating angioleiomyomas from other circumscribed hypervascular soft tissue tumors.

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Section: Discussionmentioning

confidence: 99%

Section: Distribution Of Angioleiomyomas Nonsubungual Glomus Tumorsmentioning

confidence: 99%

Section: Distribution Of Angioleiomyomas Nonsubungual Glomus Tumorsmentioning

confidence: 99%

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Sonographic Appearances of Soft Tissue Angioleiomyomas

Park

Kim

Lee

et al. 2012

Journal of Ultrasound in Medicine

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“…It is able to provide a detailed description of the mass characteristics including dimension, location, presence or lack of calcification, solid nature, vascularity pattern, and hyperemia, which allows for exclusion of cysts and other fluid-filled lesions from the differential diagnosis. 3 Magnetic resonance imaging and ultrasonography are valuable in the diagnosis of angioleiomyoma, but neither is sufficiently sensitive to provide a definitive diagnosis. The differential diagnosis for a painful, subcutaneous soft tissue mass of the lower extremity is wide, including benign lesions such as neuroma, angiolipoma, and ganglia, as well as malignant conditions such as malignant leiomyosarcoma, malignant fibrous histiocytoma, and synovial sarcoma.…”

Section: Discussionmentioning

confidence: 99%

“…It presents in the second to sixth decade of life, is more common in females, and most commonly presents in the lower extremity. 2,3 The mass can be dermal or subcutaneous, or may occur in the superficial fascia of the extremities. 4 Pain is documented as a primary concern in 60% of patients.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Sonographic Evaluation of a Lower Extremity Angioleiomyoma in a 52-Year-Old Woman

Mattox

Welk

Jokerst

et al. 2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case study is to describe the role of sonographic examination in the initial evaluation of an angioleiomyoma and to discuss the characteristic findings associated with this soft tissue mass. Clinical Features: A 52-year-old woman presented with a large, tender, erythematous mass on the anterolateral aspect of her right knee. Sonographic examination revealed a highly vascular mass within the subcutaneous tissues. Differential considerations included benign soft tissues masses such as angioleiomyoma and hemangioma. Intervention and Outcomes: Surgical consultation was recommended. Excisional biopsy was performed. Histopathological examination confirmed the diagnosis of angioleiomyoma. Conclusion: Although ultrasonographic findings of a superficial soft tissue mass may be nonspecific, when a highly vascular, well-defined, slow-growing mass is present, angioleiomyoma should be included in the differential diagnosis.

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Angioleiomyoma of the Extremities: Findings on Ultrasonography and Magnetic Resonance Imaging

Kang

Shim

Kim

et al. 2018

J of Ultrasound Medicine

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Angioleiomyoma of the extremities is usually a well-circumscribed oval mass with a homogeneous echo texture and occasionally hypoechoic protrusions on US and shows heterogeneous enhancement with occasionally enhancing structures on one or both ends of the mass on MRI. Therefore, it should be included in the differential diagnosis of a soft tissue mass that has protruding structures from one or both ends.

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Sonographic and Clinical Features of Angioleiomyoma Presenting as a Painful Achilles Tendon Mass

Cited by 11 publications

References 9 publications

Sonographic Appearances of Soft Tissue Angioleiomyomas

Sonographic Appearances of Soft Tissue Angioleiomyomas

Clinical and Sonographic Evaluation of a Lower Extremity Angioleiomyoma in a 52-Year-Old Woman

Angioleiomyoma of the Extremities: Findings on Ultrasonography and Magnetic Resonance Imaging

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