High - Resolution Ultrasound Imaging for Angioleiomyoma: A Painful and Vascularized Superficial Tumor

Kazumi Fujioka*¹, Akira Fujioka², Minoru Oishi³, Ken Hayashi⁴ and Tomohiro Nakayama¹

Received: October 02, 2018;   Published: October 09, 2018

DOI: 10.26717/BJSTR.2018.09.001857

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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 and is less than 2 cm in diameter. We report an ALM of the thigh in a 69-year-old woman with intermittent pain. US was performed with a high-resolution, broad-band (5 MHz-18 MHz) linear transducer for the superficial nodule. To the best of our knowledge, there has been no report of high-resolution ultrasound image features, including gray-scale US, color Doppler US and Real-Time Tissue Elastography (RTE) for an ALM. ALM should be considered as one of the painful and vascularized subcutaneous mass, a superficial location that can be seen on high-resolution US. The feature of adjacent blood flow signal on color Doppler US could be strongly suggested to be ALM.

Keywords : High - Resolution Ultrasound; Angioleiomyoma; Adjacent Blood Flow Signal; Painful and Vascularized Superficial Tumor; Color Doppler Ultrasonography

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