Pastore R L, Ianiro G
J Am Podiatr Med Assoc. 1999 Mar;89(3):145-7. doi: 10.7547/87507315-89-3-145.
Leiomyomas are smooth-muscle tumors that may be encountered in the practice of podiatric medicine when they affect the arrector pili muscles or the smooth muscle of a vessel wall. In the present case, the lesion was located on the heel, an area with no hair growth; this further supports the diagnosis, as the most likely origin of the lesion was the smooth muscle of a blood vessel. Vascular leiomyomas show a greater predilection for the lower extremities than their superficial counterparts. Surgical excision is the treatment of choice for these benign lesions, whose prognosis is excellent. When a patient presents with a painful mass in the lower extremity, the diagnosis of leiomyoma should be considered.
平滑肌瘤是一种平滑肌肿瘤，当它们影响立毛肌或血管壁的平滑肌时，可能会在足病医学实践中遇到。在本病例中，病变位于足跟，这是一个没有毛发生长的区域；这进一步支持了诊断，因为该病变最可能的起源是血管平滑肌。与浅表平滑肌瘤相比，血管平滑肌瘤更易发生于下肢。手术切除是这些良性病变的首选治疗方法，其预后良好。当患者下肢出现疼痛性肿块时，应考虑平滑肌瘤的诊断。
