Abstract

Angioleiomyoma (ALM) is a rare benign, vascular smooth muscle tumor originating from the tunica media of the vessel wall. It typically arises in the cutaneous, subcutaneous tissue of the lower extremities in middle-aged women...

Highlights

  • ALM typically occurs in the cutaneous, subcutaneous tissue of the lower extremities in middle-aged women [1]

  • The author has previously described the solid subtype of ALM as a painful and vascularized subcutaneous tumor and indicated that all painful cutaneous and subcutaneous tumors used as the acronym “ENGLAND” or “LEND an EGG” show vascularized appearances on high-resolution color Doppler ultrasonography (US)

  • The author has previously described the solid subtype of ALM as a painful and vascularized subcutaneous tumor [2] and indicated that all painful cutaneous and subcutaneous tumors used as the acronym “ENGLAND” or “LEND an EGG” [3] show vascularized appearances on high-resolution color Doppler US [4]

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Summary

Introduction

ALM typically occurs in the cutaneous, subcutaneous tissue of the lower extremities in middle-aged women [1]. The author has previously described the solid subtype of ALM as a painful and vascularized subcutaneous tumor and indicated that all painful cutaneous and subcutaneous tumors used as the acronym “ENGLAND” or “LEND an EGG” show vascularized appearances on high-resolution color Doppler ultrasonography (US). In addition to the characteristic manifestation of painful and vascularized tumor on color Doppler US, an acral calcified ALM should be considered as the differential diagnosis if the mass shows the calcification on high-resolution US in acral regions.

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