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Published on: February 20, 2026
Angioleiomyoma in a rare location: a case report
Ashley D Willoughby1, Andrew T Schlussel, Judy H Freeman
1Department of General Surgery, Tripler Army Medical Center, Honolulu, HI 96859, USA. ashley.willoughby@amedd.army.mil
Summary
This case report highlights angioleiomyoma, a rare soft tissue tumor, presenting as a buttock mass. Thorough pathological examination is crucial for diagnosing such subcutaneous lesions.
Area of Science:
- Oncology
- Pathology
- Dermatology
Background:
- Subcutaneous masses can present with varied clinical symptoms, including pain and neurological deficits.
- Angioleiomyomas are rare benign tumors originating from vascular smooth muscle, typically found in the lower extremities.
Observation:
- A 38-year-old male presented with a decade-long history of a left buttock mass accompanied by pain and numbness.
- Computed tomography revealed a 1cm subcutaneous enhancing lesion, distinct from adjacent neurovascular structures.
Findings:
- Surgical excision of the mass was performed without complications.
- Histopathological analysis confirmed the diagnosis of angioleiomyoma, emphasizing the need for comprehensive tissue review.
Implications:
- This case underscores the importance of a broad differential diagnosis for subcutaneous lesions.
- Accurate diagnosis through detailed histology and pathology is essential for appropriate patient management of rare soft tissue tumors.