Pdf here we describe an uterine vascular leiomyoma with a fat component. Pdf uterine vascular leiomyoma with a fat component mimicking. Leiomyosarcoma of intravascular origin a rare tumor. They are most frequently encountered in the retroperitoneum arising from the inferior vena cava and are scarcely found to arise from vessels of the extremities. Clinical symptoms, us images and histopathologic features are reported. A 69yearold woman with a subcutaneous, large vascular leiomyoma of the leg is presented. Vascular leiomyoma of the oral cavity med oral patol oral cir bucal. Leiomyoma, a benign neoplasia arising from smooth muscle is an uncommon neoplasia of the oral cavity. A leiomyoma is a benign smooth muscle neoplasm that frequently occurs in the extraskeletal sites which include the ovaries, uterus, bladder, lung and the gastrointestinal tract. Apr 19, 2018 the topic vascular leiomyoma you are seeking is a synonym, or alternative name, or is closely related to the medical condition angioleiomyoma quick summary. Histopathology of stromal tumours of the endometrium 127. Oncology, rheumatology angioleiomyoma vascular leiomyoma, angiomyoma of the skin is thought to arise from vascular smooth muscle, and is generally acquired. Epidemiology it is thought to occur in up to 60% of uterine leiomyomas 3.
The authors report their experience with 21 patients. Recent advances in the histopathology of stromal tumours. The vascular leiomyomaalso called angioleiomyoma or angiomyomais a mesodermal benign tumour originating. A large vascular leiomyoma or an infected sebaceous cyst. Women in the 3rd to 5th decades of life are predominantly affected, 66. Scrotal leiomyoma is a rare tumor with columbia university, new york, ny changes in the uterus th h t lifthoughout. Approximately 250 cases have been reported in the literature, 65. Oral vascular leiomyoma with extensive calcification areas.
A large vascular leiomyoma of the leg europe pmc article. Histopathology demonstrated a proliferation of mature and well differentiated smooth muscle cells with abundant thickwalled vascular channels figure 2. Some leiomyoma variants have histologic findings that make it difficult to define them as benign or malignant eg, smooth muscle tumors of uncertain malignant potential. Nasal vascular leiomyomas are extremely rare tumours. Pdf a 48yearold women with a subcutaneous vascular leiomyoma of the right leg, presented with pain in the right midleg medial aspect. Vascular leiomyoma of the oral cavity of 48 hours, embedded in paraffin and cut at 5 m to be. Pathology as with many other types of degeneration, it happens when. Often in soft tissue of lower limbs, but tumors in.
Angioleiomyoma or vascular leiomyoma accounts for approximately 4% of benign soft tissue tumors. Vascular leiomyoma of the head and neck request pdf. Leiomyoma variants are classified as benign or malignant based upon histologic features and clinical behavior. Leiomyoma uterus uterine leiomyoma is a hormonedependent benign connective tissue tumor of the smooth muscle cells of the myometrium. Leiomyoma is the most commonly occurring benign neoplasm in the urinary bladder. A large vascular leiomyoma or an infected sebaceous cyst of the chest. We present magnetic resonance imaging, and histopathologic features of two pathology proven subcutaneous vascular leiomyomas of the.
Correlation oft tissue angioleiomyoma, also called vascular leiomyoma or angiomyoma, is a rare. May 10, 2016 we report a case of a 54yearold man with an angioleiomyoma originating from the right nasal floor. Also called vascular leiomyoma single, painful, deep seated nodule microscopic histologic description. Hyaline degeneration of a leiomyoma radiology reference.
Phd student graduate program in oral pathology federal university of rio grande do norte. We report a case of a 54yearold man with an angioleiomyoma originating from the right nasal floor. Additional and relevant useful information for angioleiomyoma. Clinical and histological features of vascular leiomyoma of the foot. Jul 16, 20 angioleiomyoma al, otherwise known as vascular leiomyoma, is a rare variant of leiomyoma lm originating from smooth muscle cells and containing thickwalled vessels. Clinical, histopathological and immunohistochemical characteristics. Vascular leiomyoma is a rare tumour of smooth muscle origin. We describe a 73yearold man who presented with a slowly growing mass in the thenar region of his right hand which, on histological examination, was shown to be a giant vascular. Angioleiomyomas synonymous with angiomyoma and vascular leiomyoma arise from the tunica media of venous vasculature and are the clinical subtype of cutaneous leiomyoma most likely to present in the extremities. Hyaline degeneration is the most common form of degeneration that can occur in a uterine leiomyoma. Arises from smooth muscle of blood vessels without elastic fibers.
Relatively common, usually females, ages 30 60 years. Sharply circumscribed nodule of dermis or subcutis solid or vascular related to glomus tumors, but tumor cells are spindled and smooth muscle bundles are ill defined rarely arises in vessels microscopic histologic images. These tumors were analysed with particular reference to treatment outcome and prognosis. In this chapter, the morphologic features and current diagnostic criteria for leiomyoma, as opposed to leiomyosarcoma, and the controversies regarding the diagnosis of borderline tumors are presented. Typically, they develop as a small leiomyoma and leiomyosarcoma. Clinical and histological features of vascular leiomyoma. Vascular leiomyoma, a benign tumor composed of smooth muscle cell and vascular endothelium, is rare in the head and neck region. May 01, 2018 the probability of angioleiomyoma recurrence is very low after its surgical removal. Angioleiomyoma al, otherwise known as vascular leiomyoma, is a rare variant of leiomyoma lm originating from smooth muscle cells and containing thickwalled vessels. Uterine angioleiomyoma, a distinct variant of uterine leiomyoma. Uterine leiomyomas or fibroids are benign smooth muscle tumors of the uterus. The most common histological subtype in the oral cavity is the vascular one. Angioleiomyoma or vascular leiomyoma, a benign, rare tumour of smooth muscle origin, generally arises from the tunica media of the small veins and arteries.
Angioleiomyoma, smooth muscles encircling dilatated blood vessels. Among the genital leiomyoma, which include those involving scrotum, vulva, or nipple, the leiomyoma of scrotum and vulva are clinicopathologically quite different, receiving little attention in the literature. They make up less than 1% of all leiomyomas in the human body. Angioleiomyoma should be considered a possible diagnosis whe. A large vascular leiomyoma of the leg sciencedirect. Vascular leiomyoma or angioleiomyoma is a benign smooth muscle tumor arising from the tunica media of the veins.
These lesions can be found in the dermis, subcutaneous fat or deep fascia. Orthopedics leiomyomas are solid or vascular tumors derived from smooth muscle, rarely reported in the lower extremity. Clinically, they are characterised by nasal obstruction, epistaxis or pain as the primary symptom. It has been reported in many anatomical sites, but it usually affects limbs. Treatment complete surgical extirpation three reports of recurrent vascular leiomyoma of the larynx nall, 1997 all had mitotic figures noted histologically small tumors via endoscopic approaches larger tumors require external approaches due to the tremendous vascularity of these. Although they are most frequently reported in the lower extremity and in middleaged female patients, angioleiomyomas can be found throughout the body in male and female adults of all ages 16. Solidcapillary found on the legs, cavernous on the arms, and venous on the head. Histopathologically, angioleiomyoma has 3 subtypes. Angioleiomyoma vascular leiomyoma of the oral cavity. Sometimes the skin and the subcutaneous soft tissues are involved, as in the vascular leiomyomas which arise from the small blood vessels of the smooth muscle. Leiomysarcoma of intravascular origin is an exceedingly rare entity of malignant soft tissue tumors. The purpose of our study was to describe the mri findings of angioleiomyoma in the soft tissue of the extremities.
However, periodic followup with screening might be required. Histopathology images of angiomyoma vascular leiomyoma. Mar 01, 20 a leiomyoma is a benign smooth muscle neoplasm that frequently occurs in the extraskeletal sites which include the ovaries, uterus, bladder, lung and the gastrointestinal tract. A leiomyoma is a very common benign tumour of smooth muscle.
Histopathological examination confirmed the diagnosis of a angioleiomyoma vascular leiomyoma. Leiomyomas fit into the soft tissue group of lesions. Clinical and sonographic features with histopathologic. Scrotal leiomyoma is a rare tumor with vascular leiomyoma angiomyoma vascular leiomyomas are characterized by the presence of numerous muscularwalled blood vessels, separated by oedematous, myxoid or hyalinized stroma, sometimes with cystic changes. Vascular leiomyoma of foot europe pmc article europe pmc. Vascular leiomyoma definition of vascular leiomyoma by. Do not diagnose as superficial angiomyolipoma even if it contains some fat. Department of pathology, gachon university gil hospital, 1198. A case of vascular leiomyoma is reported here, where diagnosis of vascular leiomyoma was. Vascular leiomyoma or angioleiomyoma is a benign solitary tumour that arises from the mediae layer of the vein walls.
The tumor can be single or multiple leiomyomatosis figure 1, variable in size. Angiomyoma, also known as vascular leiomyoma, is a benign solitary tumor that most commonly occurs in the subcutaneous tissue. Angioleiomyoma is a benign tumor occurring just below the skin, affecting the smooth muscles of blood vessels arteries and veins. Histopathology encapsulated and consist of smooth muscle bundles amongst numerous vascular spaces ddx.