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Angioleiomyoma presenting as a nodular swelling of leg: Report of a rare painful benign soft tissue tumor

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Case Report

Author Details : Monal Trisal, Mohammad Jaseem Hassan*, Nehal Ahmad, Sabina Khan, Sujata Jetley

Volume : 5, Issue : 3, Year : 2020

Article Page : 248-250

https://doi.org/10.18231/j.achr.2020.054

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Abstract

Angioleiomyoma is a slow-growing benign pericytic tumor originating from the tunica media layer of blood vessel wall and represents 4–5% of all benign soft tissue tumors. Vascular leiomyomas show a greater predilection for the lower extremities than other superficial leiomyomas. Excisional biopsy of the tumor is both diagnostic and curative, with a low recurrence rate reported in the literature and excellent prognosis. Malignant transformation is very rare. Whenever a patient presents with a painful mass in the lower extremity, the diagnosis of leiomyoma should be considered. We present a case of a 30-year-old male with angioleiomyoma of left lower leg who presented with painful slow growing nodular swelling since six years. The mass was excised and on microscopic examination a diagnosis of angioleiomyoma was rendered, which was confirmed by positivity for smooth muscle actin on immunohistochemistry.

Keywords: Angioleiomyoma, Angiomyoma, Pericytic tumor, SMA, Vascular leiomyoma.

How to cite : Trisal M, Hassan M J, Ahmad N, Khan S , Jetley S, Angioleiomyoma presenting as a nodular swelling of leg: Report of a rare painful benign soft tissue tumor. IP Arch Cytol Histopathol Res 2020;5(3):248-250

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