Radiologic Findings of an Angioleiomyoma of the Finger: A Case Report

손가락에서 발생한 맥관평활근종의 영상의학적 소견: 증례 보고

  • Jeong, Bo-Seong (Department of Diagnostic Radiology, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Shim, Jae-Chan (Department of Diagnostic Radiology, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Kim, Ji-Young (Department of Orthopedic Surgery, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Kang, Yoon-Kyeng (Department of Pathology, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Lee, Jae-Myeong (Department of Diagnostic Radiology, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Nam, Mi-Young (Department of Diagnostic Radiology, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Lee, Ghi-Jai (Department of Diagnostic Radiology, Seoul Paik Hospital, InJe University College of Medicine) ;
  • Kim, Ho-Kyun (Department of Diagnostic Radiology, Seoul Paik Hospital, InJe University College of Medicine)
  • 정보성 (인제대학교 서울백병원 영상의학과) ;
  • 심재찬 (인제대학교 서울백병원 영상의학과) ;
  • 김지영 (인제대학교 서울백병원 정형외과) ;
  • 강윤경 (인제대학교 서울백병원 병리과) ;
  • 이재명 (인제대학교 서울백병원 영상의학과) ;
  • 남미영 (인제대학교 서울백병원 영상의학과) ;
  • 이기재 (인제대학교 서울백병원 영상의학과) ;
  • 김호균 (인제대학교 서울백병원 영상의학과)
  • Published : 2011.06.01

Abstract

Angioleiomyomas are a rare benign smooth muscle tumor arising from vessel walls. Although angioleiomyomas are most frequently reported in the lower extremities and in middle-aged female patients, they can be found throughout the body in male and female adults of all ages. We report a rare case of an angioleiomyoma of the left 3rd digit in a 31-year-old man, which appeared as a small, well defined mass with multiple vascular structures on Doppler sonogram and MRI. The tumor was diagnosed by pathology as an angioleiomyoma. Although angioleiomyomas are relatively infrequent, they should be considered in the differential diagnosis when multiple tortuous vascular structures are seen within a well demarcated mass in extremities on Doppler sonogram and MRI.

맥관평활근종은 혈관 벽에서 발생하는 드문 양성 종양이다. 이 종양은 중년 여성의 하지에서 많이 발생하는 것으로 알려져 있지만, 나이나 부위에 관계없이 어디에서든 발생할 수 있다. 저자들은 31세 남자 환자의 왼쪽 중지에 발생한 맥관평활근종의 증례에 대해 보고하고자 한다. 본 증례에서는 도플러초음파와 자기공명영상에서 경계가 좋은 종괴와 그 내부로 다수의 혈관 구조물들을 볼 수 있었으며, 병리 결과에서 맥관평활근종으로 진단되었다. 비록 맥관평활근종이 비교적 드문 종양이기는 하지만, 도플러초음파나 자기공명영상에서 사지에 경계가 좋은 종괴와 사행성의 혈관 구조물들이 내부에 보일 때 그 가능성을 반드시 고려해야 한다.

Keywords

References

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