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Elbow Pain Brought on by a Minuscule Angioleiomyoma

아주 작은 혈관평활근종에 의해 야기된 팔꿈치 통증

  • Jo, Won-Jae (Department of Rehabilitation Medicine, Presbyterian Medical Center) ;
  • Lee, Kwang-Jae (Department of Rehabilitation Medicine, Presbyterian Medical Center) ;
  • Yoo, Seol-Bong (Department of Pathology Medicine, Presbyterian Medical Center) ;
  • Yoon, Yong-Soon (Department of Rehabilitation Medicine, Presbyterian Medical Center) ;
  • Choi, Jun-Hyun (Department of Rehabilitation Medicine, Presbyterian Medical Center)
  • Received : 2019.09.27
  • Accepted : 2019.11.12
  • Published : 2020.06.30

Abstract

Angioleiomyoma is an infrequent benign smooth muscle tumor that arises from smooth muscle cells of arterial or venous walls in the tunica media layer. It would be found in the dermis, the subcutaneous tissue, or the superficial fascia of the anywhere in the body and is most often seen in the lower extremities. The typical lesion is a small, slowly growing, round, but firm and mobile nodule. We report a case of angioleiomyoma located on the anterior aspect of the elbow, which was mistaken for extradigital glomus tumor after history taking, physical examination. With point tenderness and worsening sharp pain in cold exposure for several years, the patient was referred for a further evaluation, and the lesion was 5 mm sized well-circumscribed mass in the anterior elbow with vascular signals on color and power Doppler by ultrasonography and finally diagnosed as angioleiomyoma following complete excision and histological evaluation.

Keywords

References

  1. Al-Jabri T, Garg S, Rao S. A rare case of angioleiomyoma of the knee: a case report. Cases J 2009; 2: 7885 https://doi.org/10.4076/1757-1626-2-7885
  2. Hasegawa T, Seki K, Yang P, Hirose T, Hizawa K. Mechanism of pain and cytoskeletal properties in angioleiomyomas: an immunohistochemical study. Pathol Int 1994; 44: 66-72 https://doi.org/10.1111/j.1440-1827.1994.tb02587.x
  3. Morimoto, N. Angiomyoma (vascular leiomyoma). A clinicopathologic study. Mcd J Kagoshima Univ 1973; 24: 663-683
  4. Murty AN, Ireland J. Angiomyoma of the patellar fat pad. Knee 2000; 7: 253-254 https://doi.org/10.1016/S0968-0160(00)00075-2
  5. Kim DG, Lee SJ, Choo HJ, Kim SK, Cha JG, Park HJ, et al. Ultrasonographic Findings of Subcutaneous Angioleiomyomas in the Extremities Based on Pathologic Subtypes. Korean J Radiol 2018; 19: 752-757 https://doi.org/10.3348/kjr.2018.19.4.752
  6. Anley C, Vrettos B, Roche S, Solomons M. A Glomus Tumour of the Elbow: A Case Report and Review of the Literature. Shoulder Elbow 2014; 6: 60-62 https://doi.org/10.1111/sae.12041
  7. Zhang JZ, Zhou J, Zhang ZC. Subcutaneous Angioleiomyoma: Clinical and Sonographic Features with Histopathologic Correlation. J Ultrasound Med 2016; 35: 1669-1673 https://doi.org/10.7863/ultra.15.06056
  8. Smith J, Wisniewski SJ, Lee RA. Sonographic and clinical features of angioleiomyoma presenting as a painful Achilles tendon mass. J Ultrasound Med 2006; 25: 1365-1368 https://doi.org/10.7863/jum.2006.25.10.1365
  9. Park HJ, Kim SS, Lee SY, Choi YJ, Chung EC, Rho MH, et al. Sonographic appearances of soft tissue angioleiomyomas: differences from other circumscribed soft tissue hypervascular tumors. J Ultrasound Med 2012; 31: 1589-1595 https://doi.org/10.7863/jum.2012.31.10.1589
  10. Yoo HJ, Choi JA, Chung JH, Oh JH, Lee GK, Choi JY, et al. Angioleiomyoma in soft tissue of extremities: MRI findings. Am J Roentgenol 2009; 192: 291