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Intravascular Myopericytoma: A Case Report
Mohamed B Mohamed1, Mohamed Idris2, Sameh Bibawy1
1Plastic and Reconstructive Surgery, Hull University Teaching Hospital, Hull, GBR.
Cureus
|October 3, 2022
Summary
A rare intravascular myopericytoma, a tumor from perivascular myoid cells, was diagnosed in a woman's foot. Histology confirmed a benign neoplasm within a vein wall, highlighting vascular and pericytic differentiation.
Area of Science:
- Vascular pathology
- Tumor biology
- Medical imaging
Background:
- Myopericytoma originates from perivascular myoid cells.
- Intravascular myopericytoma is an extremely rare subtype with limited case reports.
- Understanding rare vascular tumors is crucial for diagnosis and treatment.
Observation:
- A 31-year-old woman presented with a nine-month history of a foot lump.
- Imaging revealed a lesion near the dorsalis pedis vessels.
- Surgical excision was performed for diagnosis and treatment.
Findings:
- Histological analysis identified a benign neoplasm within a vein wall.
- The tumor exhibited features of vascular and pericytic differentiation.
- Immunohistochemistry showed CD31 and SMA positivity, with negative pancytokeratin staining, confirming the diagnosis.
Implications:
- This case expands the understanding of intravascular myopericytoma presentation and characteristics.
- Accurate diagnosis relies on integrating imaging, histology, and immunohistochemistry.
- Further research into rare vascular neoplasms can improve patient outcomes.

