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Angioleiomyoma of the upper extremity
Matthew T Houdek1, Peter S Rose, Wonwoo Shon
1Department of Orthopedic Surgeryhology, Mayo Clinic, Rochester, MN 55905, USA.
The Journal of Hand Surgery
|June 26, 2013
Summary
Surgical excision effectively manages upper extremity angioleiomyomas, presenting as painful masses. This treatment shows no recurrence and minimal complications, preserving grip strength.
Area of Science:
- Orthopedic Surgery
- Dermatopathology
- Oncology
Background:
- Angioleiomyomas are benign tumors originating from smooth muscle.
- They commonly present as painful masses in the extremities.
- Diagnosis is often clinical, with imaging rarely definitive.
Purpose of the Study:
- To evaluate the outcomes of surgical excision for upper extremity angioleiomyomas.
- To assess treatment efficacy and long-term results.
Main Methods:
- Retrospective review of 26 patients with upper extremity angioleiomyomas treated between 1975 and 2012.
- Minimum 1-year follow-up was required.
- Data collected included patient demographics, tumor characteristics, and surgical outcomes.
Main Results:
- Average patient age was 55 years; the hand was the most common location.
- Painful masses were the primary symptom, with an average tumor size of 10 mm.
- No significant difference in grip strength was observed post-surgery. One complication and no recurrences were reported over an average 8.6-year follow-up.
Conclusions:
- Marginal surgical excision is a reliable treatment for angioleiomyomas.
- The procedure yields excellent outcomes with low complication and recurrence rates.
- Angioleiomyomas typically manifest as small, painful masses requiring surgical intervention.
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