Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Angioleiomyoma masquerading as shoulder pain

  • Received : 2020.07.22
  • Accepted : 2020.08.29
  • Published : 2021.03.01
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Abstract

Angioleiomyoma is a benign soft tissue tumor originating from vascular smooth muscle. We report a case of a 20-year-old student who presented with pain in the right shoulder of 4 years duration. Shoulder movements were pain-free throughout the range of motion except resisted external rotation. Magnetic resonance imaging visualized a well-circumscribed lesion over the infraspinatus tendon. The lesion was surgically removed and sent for histopathological analysis. Morphology and immunohistochemistry results were suggestive of angioleiomyoma. The most common location for such a lesion is the lower limb, with less than 1% being reported in the upper arm, of which an angioleiomyoma of the shoulder is extremely rare.

Keywords

Acknowledgement

We would like to acknowledge Dr. Pushpa Mahadevan, Department of pathology, VPS Lakeshore Hospital, Kochi, Kerala and Dr. Shruti P, Department of pathology, ASTER MIMS, Kanoor, Kerala for valuable feedback in histopathological analysis and reporting of the tumor and Dr. Julio C Kandathil for radiological analysis of the tumor.

References

  1. Fletcher CD. The evolving classification of soft tissue tumours- an update based on the new 2013 WHO classification. Histopathology 2014;64:2-11. https://doi.org/10.1111/his.12267
  2. Hachisuga T, Hashimoto H, Enjoji M. Angioleiomyoma. A clinicopathologic reappraisal of 562 cases. Cancer 1984;54:126-30. https://doi.org/10.1002/1097-0142(19840701)54:1<126::AID-CNCR2820540125>3.0.CO;2-F
  3. Stout AP. Solitary cutaneous and subcutaneous leiomyoma. Am J Cancer 1937;29:435-69. https://doi.org/10.1158/ajc.1937.435
  4. Cherrick HM, Dunlap CL, King OH Jr. Leiomyomas of the oral cavity: review of the literature and clinicopathologic study of seven new cases. Oral Surg Oral Med Oral Pathol 1973;35:54-66. https://doi.org/10.1016/0030-4220(73)90094-7
  5. Duchateau J, Zielonka E, Guelinckx PJ. Chronic pain: illusion or pathology? A case report of a vascular leiomyoma in the leg. Br J Plast Surg 1987;40:536-7. https://doi.org/10.1016/S0007-1226(87)90091-9
  6. Dicaprio MR, Jokl P. Vascular leiomyoma presenting as medial joint line pain of the knee. Arthroscopy 2003;19:E24.
  7. Montgomery H, Winkelmann RK. Smooth-muscle tumors of the skin. AMA Arch Derm 1959;79:32-40. https://doi.org/10.1001/archderm.1959.01560130034004
  8. Morimoto N. Angiomyoma (vascular leiomyoma): a clinicopathologic study. Med J Kagoshima Univ 1973;24:663-83.
  9. Ramesh P, Annapureddy SR, Khan F, Sutaria PD. Angioleiomyoma: a clinical, pathological and radiological review. Int J Clin Pract 2004;58:587-91. https://doi.org/10.1111/j.1368-5031.2004.00085.x
  10. Herren DB, Zimmermann A, Buchler U. Vascular leiomyoma in an index finger undergoing malignant transformation. J Hand Surg Br 1995;20:484-7.