Angioleiomyoma in a 52-year-old female wrist: A case report

Angioleiomyoma is a benign soft tissue tumor arising from vascular smooth muscle and most commonly presents in the lower extremities. We report a case of a 52-year-old right-hand dominant woman who presented with a 2-year history of intermittent, nonradiating left wrist pain, which she described as...

Full description

Bibliographic Details
Main Authors: Christopher Warburton, BS, Nikhil Patel, BS, Griffin Harris, BS, Noah Gabor, BS, Andrew E. Rosenberg, MD, Seth D. Dodds, MD, Jean Jose, DO
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332300314X
_version_ 1797803952154083328
author Christopher Warburton, BS
Nikhil Patel, BS
Griffin Harris, BS
Noah Gabor, BS
Andrew E. Rosenberg, MD
Seth D. Dodds, MD
Jean Jose, DO
author_facet Christopher Warburton, BS
Nikhil Patel, BS
Griffin Harris, BS
Noah Gabor, BS
Andrew E. Rosenberg, MD
Seth D. Dodds, MD
Jean Jose, DO
author_sort Christopher Warburton, BS
collection DOAJ
description Angioleiomyoma is a benign soft tissue tumor arising from vascular smooth muscle and most commonly presents in the lower extremities. We report a case of a 52-year-old right-hand dominant woman who presented with a 2-year history of intermittent, nonradiating left wrist pain, which she described as achy in nature without numbness or tingling. A focused physical examination revealed no edema, no obvious skin changes; there was tenderness over the volar-radial aspect of the left wrist, with an underlying firm, mobile, and palpable soft tissue mass. There was no prior history of trauma or surgery to the affected area. Ultrasound (US) examination demonstrated a 0.6 × 0.6 × 0.4 cm well-defined, oval, hypoechoic soft tissue mass within the volar radial soft tissues of the left wrist. The lesion abutted the radial artery without signs of calcification or necrosis. Color Doppler showed little to no vascularity within the mass nor radial artery thrombosis. Histological analysis revealed an angioleiomyoma arising from the radial artery wall. A case presentation like this would most commonly be due to a volar ganglion cyst; however, it is important to consider other soft tissue masses in differential diagnosis, such as angioleiomyoma, as treatment varies significantly.
first_indexed 2024-03-13T05:29:49Z
format Article
id doaj.art-c5b82e59a82e4874a05bfefc317ba66c
institution Directory Open Access Journal
issn 1930-0433
language English
last_indexed 2024-03-13T05:29:49Z
publishDate 2023-08-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj.art-c5b82e59a82e4874a05bfefc317ba66c2023-06-15T04:55:29ZengElsevierRadiology Case Reports1930-04332023-08-0118826632666Angioleiomyoma in a 52-year-old female wrist: A case reportChristopher Warburton, BS0Nikhil Patel, BS1Griffin Harris, BS2Noah Gabor, BS3Andrew E. Rosenberg, MD4Seth D. Dodds, MD5Jean Jose, DO6Miller School of Medicine, University of Miami, Miami, FL, USA; Corresponding author at: 79 SW 12th St. Apt. 1901, Miami, FL, 33130.Miller School of Medicine, University of Miami, Miami, FL, USAMiller School of Medicine, University of Miami, Miami, FL, USAMiller School of Medicine, University of Miami, Miami, FL, USADepartment of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Orthopaedic Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL, USADepartment of Radiology, University of Miami/Jackson Memorial Hospital, Miami, FL, USAAngioleiomyoma is a benign soft tissue tumor arising from vascular smooth muscle and most commonly presents in the lower extremities. We report a case of a 52-year-old right-hand dominant woman who presented with a 2-year history of intermittent, nonradiating left wrist pain, which she described as achy in nature without numbness or tingling. A focused physical examination revealed no edema, no obvious skin changes; there was tenderness over the volar-radial aspect of the left wrist, with an underlying firm, mobile, and palpable soft tissue mass. There was no prior history of trauma or surgery to the affected area. Ultrasound (US) examination demonstrated a 0.6 × 0.6 × 0.4 cm well-defined, oval, hypoechoic soft tissue mass within the volar radial soft tissues of the left wrist. The lesion abutted the radial artery without signs of calcification or necrosis. Color Doppler showed little to no vascularity within the mass nor radial artery thrombosis. Histological analysis revealed an angioleiomyoma arising from the radial artery wall. A case presentation like this would most commonly be due to a volar ganglion cyst; however, it is important to consider other soft tissue masses in differential diagnosis, such as angioleiomyoma, as treatment varies significantly.http://www.sciencedirect.com/science/article/pii/S193004332300314XAngioleiomyomaWrist mass
spellingShingle Christopher Warburton, BS
Nikhil Patel, BS
Griffin Harris, BS
Noah Gabor, BS
Andrew E. Rosenberg, MD
Seth D. Dodds, MD
Jean Jose, DO
Angioleiomyoma in a 52-year-old female wrist: A case report
Radiology Case Reports
Angioleiomyoma
Wrist mass
title Angioleiomyoma in a 52-year-old female wrist: A case report
title_full Angioleiomyoma in a 52-year-old female wrist: A case report
title_fullStr Angioleiomyoma in a 52-year-old female wrist: A case report
title_full_unstemmed Angioleiomyoma in a 52-year-old female wrist: A case report
title_short Angioleiomyoma in a 52-year-old female wrist: A case report
title_sort angioleiomyoma in a 52 year old female wrist a case report
topic Angioleiomyoma
Wrist mass
url http://www.sciencedirect.com/science/article/pii/S193004332300314X
work_keys_str_mv AT christopherwarburtonbs angioleiomyomaina52yearoldfemalewristacasereport
AT nikhilpatelbs angioleiomyomaina52yearoldfemalewristacasereport
AT griffinharrisbs angioleiomyomaina52yearoldfemalewristacasereport
AT noahgaborbs angioleiomyomaina52yearoldfemalewristacasereport
AT andrewerosenbergmd angioleiomyomaina52yearoldfemalewristacasereport
AT sethddoddsmd angioleiomyomaina52yearoldfemalewristacasereport
AT jeanjosedo angioleiomyomaina52yearoldfemalewristacasereport