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Cutaneous angioleiomyoma
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Cutaneous angioleiomyoma

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Contributors: Catherine J. Wang, Susan Burgin MD
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Synopsis

Cutaneous angioleiomyoma : Face, Trunk
Angioleiomyoma (AL) is a variant of leiomyoma that is characterized histopathologically by the presence of vascular channels as well as smooth muscle bundles. It is thought to arise from vascular smooth muscle cells. It typically presents as a single, slowly enlarging papule or nodule on the leg of a middle-aged woman. However, men are also affected and pediatric cases have been reported. ALs have been reported on the trunk, face, and upper extremities too.

While lower extremity ALs are reported to be painful, those that occur elsewhere on the body are usually asymptomatic. Pain may be spontaneous and paroxysmal or may be precipitated by light touch or pressure.

Codes

ICD10CM:
D21.9 – Benign neoplasm of connective and other soft tissue, unspecified

SNOMEDCT:
255188003 – Angiomyoma of skin

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Angioleiomyolipoma – will see adipocytes on biopsy
  • Hemangioma
  • Kaposi sarcoma
Differential diagnosis of painful benign tumors:

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:10/10/2019
Last Updated:10/29/2019
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Cutaneous angioleiomyoma
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