Asian Journal of Case Reports in Surgery

Angioleiomyoma of Left Proximal Arm Region- Mimic as Soft Tissue Sarcoma

L. Gopi Singh

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

K. Srinivas Reddy

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

AM Adarsha

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

B. Hari Krishna

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

Samarth Sahoo

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

R. Krishna *

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

Siddharth S. Rao

All India Institute of Medical Sciences (AIIMS), Bibinagar, Hyderabad, Telangana, India.

*Author to whom correspondence should be addressed.

---

Abstract

The angioleiomyomas are rare soft tissue tumors mainly arising from smooth muscle cell layer. These vascular origin tumors often present at extremities. The exact underlying cause is unknown for these tumors. Due to nonspecific presentations and inconclusive radiological   findings, it is very difficult to diagnose preoperatively. The exact management line of these rare soft tissue tumors may be delayed or vary, due to misdiagnosis. To expand the awareness of the pathology  of this condition, more publications are needed. We are presenting a rare case of angioleiomyoma of left arm mimicking as soft tissue tumor, which implements the list of differential diagnosis of peripheral extremity soft tissue tumors.

Keywords: Leiomyoma, angioleiomyoma, musculoskeletal tumors, soft tissue tumors, magnetic resonance imaging

---

---

---

References

Yoo HJ, Choi AJ, Chung JH, Oh JH, Lee GK, Choi JY, et al. Angioleiomyoma in soft tissue of extremities: MRI findings. Am J Roentgenol. 2009;2009:W291-4.

Hanft JR, Carbonell JA, Hao DQ. Angioleiomyoma of the lower extremity. JAPMA. 1997;87:388-91.

Matsuyama A. Lyon, IARC Press. Angioleiomyoma. World Health Organization Classification of Tumours: Soft Tissue and Bone Tumours. 2020;186.

Matsuyama A, Hisaoka M, Hashimoto H. Angioleiomyoma: a clinicopathologic and immunohistochemical reappraisal with special reference to the correlation with myopericytoma. Hum Pathos. 2007;38(4):645-651. DOI: 10.1016/j.humpath.2006.10.012.

Hachisuga T, Hashimoto H, Enjoji M. Angioleiomyoma. A clinicopathologic reappraisal of 562 cases. Cancer. 1984;54(1):126-30. DOI: 10.1002/1097-0142(19840701)54:1.

Freedman AM, Meland NB. Angioleiomyomas of the extremities: report of a case and review of the Mayo Clinic experience. Plast Reconstr Surg. 1989; 83:328 -331

Edo H, Matsunaga A, Matsukuma S, Mikoshi A, Susa M, Horiuchi K, Shinmoto H. Angioleiomyoma of the extremities: correlation of magnetic resonance imaging with histopathological findings in 25 cases. Skeletal Radiol. 2022;51(4):837-848. DOI: 10.1007/s00256-021-03888-4.

Dominguez-Cherit J, Brandariz A. Distal digital angioleiomyoma: a case report and review of the literature. Int Soc Dermatology. 2003;42:141-3.

Hasegawa T, Seiki K, Yang P, Hirose T, Hizawa K. Mechanism of pain and cytoskeletal properties in angioleiomyomas: an immunohistochemical study. Pathol Int 1994; 44:66-72

FKang BS, Shim HS, Kim JH, Kim YM, Bang M, Lim S, Park GM, Lee TY, Ha ND, Kwon WJ. Angioleiomyoma of the extremities: Findings on ultrasonography and magnetic resonance imaging. J Ultrasound Med. 2019;38(5): 1201-1208. DOI: 10.1002/jum.14798

Kinoshita T, Ishii K, Abe Y, Naganuma H. Angiomyoma of the lower extremity: MR findings. Skeletal Radiol 1997; 26:443 -445.

Woo KS, Kim SH, Kim HS, Cho PD. Clinical experience with treatment of angioleiomyoma. Arch Plast Surg. 2014;41:374-8.

Gajanthodi S, Rai R, Chaudhry RK. Vascular leiomyoma of foot. J Clin Diagn Res. 2013;7:571- 2.