A painful, vascularised tumour of the calf

Summary

The case of a 39-year old female patient, presenting a painful, well-vascularized tumour located in the subcutaneous tissue of the right calf, is reported. Due to the painfulness and tumour size progression an excision with primary wound closure (by buried sutures) was performed. The tumour showed histological features characteristic for an angioleiomyoma. Particularly middle-aged women are affected by an angioleiomyoma which represents a benign, mesenchymal tumour mostly located on the lower extremities. Differential diagnosis in painful tumours of the skin should include this entity. Because of the painfulness of the tumour primary excision is mostly recommended. In the majority of cases the diagnosis is made histologically.

Keywords

Angioleiomyoma - angiomyoma - vascular leiomyoma - painful tumours of the skin - ANGLES

• References

• 1 Fitzpatrick TB, Saunders TS. Cutaneous leiomyoma; classification and report of solitary angioleiomyoma. AMA Arch Derm 1956; Oct 74 (Suppl. 04) 389-392.
• 2 Plewig G, Landthaler M, Burgdorf W, Hertl M, Ruzicka T. Braun-Falco’s Dermatologie, Venerologie und Allergologie. Berlin: Springer Verlag; 2011: 6. Aufl; 1740.
• 3 Petersen I. Die neue WHO-Klassifikation und aktuelle Ergebnisse in der Weichteiltumorpathologie. Pathologe 2013; 34: 436-448.
• 4 Hachisuga T, Hashimoto H, Enjoji M. Angioleiomyoma – A clinicopathologic reappraisal of 562 cases. Cancer 1984; Jul 1 54 (Suppl. 01) 126-130.
• 5 Bardach H, Ebner H. The angioleiomyoma of the skin. Hautarzt 1975; Dec 26 (Suppl. 12) 638-642.
• 6 Altmeyer P, Paech V. Enzyklopädie Dermatologie, Allergologie, Umweltmedizin. Berlin: Springer Verlag; 2010: 2. Auflage.
• 7 Naversen DN, Trask DM, Watson FH, Burket JM. Painful tumors of the skin: „LEND AN EGG“. J Am Acad Dermatol 1993; Feb 28 2 Pt 2 298-300.