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Angioleiomyoma

Visit:  Soft Tissue Pathology

Angioleiomyoma with the features of the dermatofibroma. J Dermatol.2008 Feb;35(2):124-5

Angioleiomyoma in the palm of an 11-year-old boy. Skeletal Radiol. 2007 Dec 21.

Angioleiomyoma is a solitary form of leiomyoma that usually occurs as a painful subcutaneous lesion, with a predilection for the lower extremities of middle-aged women. In this report the case of an 11-year-old boy with angioleiomyoma mimicking giant cell tumor of the tendon sheath (GCTTS) in the palm is presented. After marginal excision of the tumor, histopathologic and immunohistochemical studies confirmed a typical case of angioleiomyoma and ruled out the preoperative diagnosis of GCTTS. There was no evidence of local recurrence at the 1-year follow-up examination.

Epiphora as a presenting sign of angioleiomyoma of the lacrimal sac. Ophthal Plast Reconstr Surg. 2007 Nov-Dec;23(6):490-2.

A 50-year-old man presented with progressive enlargement of a right medial canthal mass for 5 years. The patient subsequently noted epiphora of 6-month duration on the affected side. An anterior orbitotomy was performed, which uncovered a well-circumscribed mass in the lacrimal sac. Histologic sections of the mass revealed an angioleiomyoma. Following complete excision, the epiphora resolved and there is no evidence of tumor recurrence at 1 year of follow-up. To the best of our knowledge, this is the first report of an angioleiomyoma in the lacrimal sac.

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