Kulkarni Mahesh Suresh, Vijayan Sandeep, Naik Monappa, Rao Sharath Kumar
Department of Orthopaedics, Kasturba Medical College Manipal, Manipal University, Manipal, India.
BMJ Case Rep. 2017 Apr 28;2017:bcr-2017-220005. doi: 10.1136/bcr-2017-220005.
Angioleiomyoma is a benign tumour composed of smooth muscle and vascular tissue. Because of the paucity of smooth muscles in the hand other than tunica media of the blood vessels, its occurrence is quite rare in the hand and only few cases are reported in the English literature. We present the case of a 49-year-old man with benign painless swelling on the dorsum of hand. Differential diagnosis of ganglion cyst and tendon sheath tumour were considered. However, excision biopsy revealed angioleiomyoma. At 2-year follow-up, the patient remained asymptomatic with no evidence of recurrence.
血管平滑肌瘤是一种由平滑肌和血管组织构成的良性肿瘤。由于手部除血管中膜外平滑肌较少，其在手部长发的情况相当罕见，英文文献中仅有少数病例报道。我们报告一例49岁男性患者，其手背出现无痛性良性肿胀。考虑过腱鞘囊肿和腱鞘肿瘤的鉴别诊断。然而，切除活检显示为血管平滑肌瘤。在2年的随访中，患者无症状，无复发迹象。
