Article Title: Painful Cutaneous and Subcutaneous Tumors Accompanied with Vascularized Appearance using High-Resolution Ultrasound in Dermatology: The Acronym “England” or “Lend an Egg”
Author: Kazumi Fujioka*
Published Date: January 03, 2019
The acronym “ENGLAND” or “LEND AN EGG” is often used to recall these painful tumors in dermatology. “LEND AN EGG” tumors show: leiomyoma, eccrine spiradenoma, neuroma, dermatofibroma, angiolipoma, neurilemmoma, endometrioma, glomus tumor, and granular cell tumor. Dermatologic ultrasound imaging has been rapidly growing in recently years because of the development of high-resolution multifrequency transducers and multichannel color Doppler machines. All painful cutaneous and subcutaneous tumors in dermatology used the acronym “ENGLAND” especially, angioleiomyoma, eccrine spiradenoma, schwannoma and glomus tumor show vascularized features on high-resolution US. Blood flow signals is more detectable in schwannoma than in neuroma. Angioleiomyoma mimic schwannoma very closely. The features of nerve-tumor association and adjacent vessel could be useful for differentiation of between schwannoma and angioleiomyoma.