Vascular leiomyoma of the hand.

Plast Reconstr Surg

Published: April 2005

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http://dx.doi.org/10.1097/01.prs.0000157515.71794.11DOI Listing

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Rationale And Objectives: Angioleiomyomas are benign perivascular tumors that originate from the tunica media of blood vessels. While frequently described in the head, neck, and uterus, angioleiomyomas can manifest in various regions throughout the body. The purpose of this study was to review the history and imaging features of angioleiomyomas of the trunk and extremities.

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Vascular Leiomyoma of oral cavity: A case report in young male patient.

J Oral Maxillofac Pathol

October 2024

Department of Dental Diagnostic Science, Division of Oral and Maxillofacial Radiology, Rutgers School of Dental Medicine, Newark, NJ, USA.

Vascular Leiomyoma of the oral cavity is an uncommon benign soft tissue neoplasia arising from the tunica media of the smooth muscle cells. We reported a rare case of Vascular Leiomyoma involving the retromolar trigone area of a young man. A 24-year-old male presented with a slowly growing mass in the retromolar area, which was associated with pain and difficulty in opening of mouth and eating and drinking.

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We present the first case of low-grade endometrial stromal sarcoma (ESS) invading a leiomyoma, which was difficult to diagnose preoperatively. A 49-year-old multiparous woman was referred to our institution due to the enlargement of an old leiomyoma after menopause. Transvaginal ultrasonography revealed a 40-mm lesion in the myometrium of the uterine body with calcification and edema.

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Article Synopsis
  • Uterine leiomyomas can sometimes lead to serious conditions like deep vein thrombosis (DVT) and pulmonary embolism (PE), even in patients with no known risk factors.
  • A 38-year-old woman experienced leg swelling, pain, and breathing difficulties and was diagnosed with DVT and PE, which were confirmed through imaging.
  • The treatment involved mechanical thrombectomy and hysterectomy, resulting in a full recovery with no recurrence of thromboembolic events after 11 months.
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Article Synopsis
  • Vascular leiomyoma, also known as angioleiomyoma, is a rare benign tumor primarily found in the extremities, often appearing as a painful subcutaneous lesion.
  • This study reviewed 139 patients over 17 years, specifically examining 50 cases with imaging studies to better understand the tumor's clinical, pathological, and imaging characteristics.
  • The findings revealed a distinctive ultrasonographic pattern, characterized by a well-defined, homogeneous, and highly vascularized tumor, suggesting that such features in a slow-growing subcutaneous tumor increase the likelihood of it being an angioleiomyoma.
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