RESUMO
Angioleiomyomas in the finger are rare and their preoperative diagnosis is difficult. Most of them are not associated with arteries and their chief complaint does not reveal pulsation tumor. We report a case of the angioleiomyoma in the finger which was misdiagnosed as arteriovenous fistula of tumor, based on the presence of pulsating tumor and angiography finding.
Assuntos
Angiomioma/diagnóstico , Fístula Arteriovenosa/diagnóstico , Dedos/irrigação sanguínea , Fluxo Pulsátil , Neoplasias Vasculares/diagnóstico , Adulto , Angiomioma/irrigação sanguínea , Angiomioma/patologia , Angiomioma/cirurgia , Fístula Arteriovenosa/fisiopatologia , Biópsia , Erros de Diagnóstico , Dedos/cirurgia , Humanos , Masculino , Valor Preditivo dos Testes , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Neoplasias Vasculares/irrigação sanguínea , Neoplasias Vasculares/patologia , Neoplasias Vasculares/cirurgiaRESUMO
Vascular leiomyomas, or angioleiomyomas, are benign tumours originating from smooth non-striated muscle. Leiomyomas in the hand are uncommon and their pre-operative diagnosis is difficult. We report a 65 year-old woman who developed a vascular leiomyoma arising from the deep palmar arterial arch.
Assuntos
Angiomioma/cirurgia , Mãos/cirurgia , Neoplasias de Tecidos Moles/cirurgia , Idoso , Angiomioma/irrigação sanguínea , Angiomioma/diagnóstico , Artérias/patologia , Artérias/cirurgia , Diagnóstico Diferencial , Feminino , Dedos/irrigação sanguínea , Mãos/irrigação sanguínea , Mãos/patologia , Humanos , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional , Imageamento por Ressonância Magnética , Neoplasias de Tecidos Moles/irrigação sanguínea , Neoplasias de Tecidos Moles/diagnóstico , Tomografia Computadorizada por Raios XAssuntos
Angiomioma/patologia , Angiomioma/cirurgia , Hamartoma/patologia , Hamartoma/cirurgia , Linfonodos/patologia , Linfonodos/cirurgia , Doenças Linfáticas/patologia , Doenças Linfáticas/cirurgia , Adulto , Angiomioma/irrigação sanguínea , Angiomioma/diagnóstico , Biomarcadores/metabolismo , Hamartoma/irrigação sanguínea , Hamartoma/diagnóstico , Humanos , Excisão de Linfonodo/métodos , Doenças Linfáticas/diagnóstico , Masculino , Resultado do Tratamento , Adulto JovemRESUMO
We have reviewed a series of 14 angioleiomyomas of the hand. Unlike angioleiomyomas elsewhere, those occurring on the hand are less commonly painful, have an equal sex distribution and are not predominantly of the solid type as seen in the lower limb. We were unable to find a strong association between histological appearance and clinical presentation. We were able to demonstrate nerve fibres within angioleiomyomas, which have not been reported previously.
Assuntos
Angiomioma/cirurgia , Mãos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Angiomioma/irrigação sanguínea , Angiomioma/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fibras Nervosas/patologia , Neoplasias Cutâneas/irrigação sanguínea , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgiaRESUMO
An angioleiomyoma was excised from the palatine tonsil in a 30-year-old woman who complained of a painless swelling in the region of the tonsil. The mucosa covering the lesion showed prominent dilated blood vessels, necessitating vascular laboratory investigations to exclude any possibility of an aneurysm arising from the carotid system. The mass was excised with little blood loss. This was an uncommon tumour in an unusual site and required radio-imaging and angiographic studies of the great vessels of the head and neck before any operation was attempted. To the best of our knowledge, this is the first case reported in English.