Ann Dermatol.  2018 Aug;30(4):491-493. 10.5021/ad.2018.30.4.491.

A Case of Vascular Leiomyoma on the Heel: A Rarely Seen Benign Soft Tissue Tumor with Brief Reviews

• Son JH
• Kim HJ
• Jung MJ
• Choi YW
• Chung BY
• Kim HO
• Park CW

• KMID: 2457535
• DOI: http://doi.org/10.5021/ad.2018.30.4.491

Abstract

No abstract available.

MeSH Terms

Angiomyoma*
Heel*

Figure

• 

  Fig. 1 (A) A slightly bluish to skin-colored nodule about 1×1 cm in size was found on his right heel. (B) By ultrasonography, a well-demarcated oval hyperechoic mass in the subcutaneous fat layer, with prominent vascularity, was determined in the subcutaneous fat layer on the right heel.

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  Fig. 2 (A) Numerous tortuous vascular channels with proliferation of spindle-shaped cells displaying an interlacing band-like pattern. The angioleiomyoma composed of rich vascular channels with thick vessel walls and smooth muscle bundles with elongated nuclei. Elongated spindle cells with abundant brightly eosinophilic cytoplasm were observed without necrosis, pleomorphism, mitosis or nuclear atypia (H&E, ×40). (B) Fibrous components and edematous stroma were observed. The mitotic activity was low and no necrosis was seen. (H&E, ×200). (C) The tumor cells show positivity for desmin (×100). (D) Masson's trichrome stain demonstrating smooth muscle fibers in red, erytherocytes in blue, collagen fibers in blue and nuclei in black-blue (×100). (E) S-100 stain was negative (×100).

Reference

1. Kim MS, Kwon WJ, Cho EB, Park EJ, Kim KH, Kim KJ. Angioleiomyoma: a clinicopathological study of 27 cases. Korean J Dermatol. 2016; 54:91–97.

2. Gajanthodi S, Rai R, Chaudhry RK. Vascular leiomyoma of foot. J Clin Diagn Res. 2013; 7:571–572.

3. Sayit E, Sayit AT, Zan E, Bakirtas M, Akpinar H, Gunbey HP. Vascular leiomyoma of an extremity: Report of two cases with MRI and histopathologic correlation. J Clin Orthop Trauma. 2014; 5:110–114.

4. Kinoshita T, Ishii K, Abe Y, Naganuma H. Angiomyoma of the lower extremity: MR findings. Skeletal Radiol. 1997; 26:443–445.

5. Morimoto N. Angiomyoma (vascular leiomyoma): a clinicopathologic study. Med J Kagoshima Univ. 1973; 24:663–688.