Two Case Reports of Angioleiomyoma of the Finger

Abstract

Angioleiomyoma represents a benign stromal tumor, which usually occurs in the subcutaneous tissue of the extremities. The angioleiomyoma in the finger is rare. We report 2 rare cases of an angioleiomyoma in finger. Case one, was a 72-year-old man with a mass on the radial side of distal phalanx of the left third finger. Case two, was a 70-year-old man with a mass on the ulnar side of interphalangeal joint of the left thumb. Both cases showed isointense to hypointense mass lesion on both T1 and T2-weighted images and were pathologically diagnosed with an angioleiomyoma. Heterogeneously isointense to hypointense on T2-weighted MR image showed two components: smooth muscle tissue punctuated with thick-walled vessles and/or hyalization on pathological finding. When much hyalization is included, it will not be enhanced on gadolinium-enhanced fat suppressed T1-weighted magnetic resonance (MR) image. Both T2-weighted and gadolinium-enhanced fat suppressed T1-weighted MR image findings should considered to predict tumor composition.