Ultrasonographic Findings of Subcutaneous Angioleiomyomas in the Extremities Based on Pathologic Subtypes.
10.3348/kjr.2018.19.4.752
- Author:
Dong Gun KIM
1
;
Sun Joo LEE
;
Hye Jung CHOO
;
Sung Kwan KIM
;
Jang Gyu CHA
;
Hee Jin PARK
;
Jong Won KWON
;
Tae Eun KIM
;
Soo Jin JUNG
Author Information
1. Department of Radiology, College of Medicine, Inje University Busan Paik Hospital, Busan 47392, Korea. sunjulee98@naver.com
- Publication Type:Original Article
- Keywords:
Angioleiomyoma;
Extremity;
Ultrasonography;
Pathologic correlation;
Pathologic type
- MeSH:
Angiomyoma*;
Capillaries;
Extremities*;
Humans;
Population Characteristics;
Retrospective Studies;
Ultrasonography
- From:Korean Journal of Radiology
2018;19(4):752-757
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of this study was to describe the ultrasonographic findings of angioleiomyoma based on pathological subtypes. MATERIALS AND METHODS: Thirty-nine patients with subcutaneous angioleiomyomas in the extremities were retrospectively reviewed by two radiologists and a pathologist. Sonographic images were analyzed to evaluate each tumor's anatomic location, size, shape, margin, heterogeneity, echogenicity, associated findings, and vascularity. RESULTS: Angioleiomyomas were divided into 3 subtypes: capillary (n = 16), venous (n = 22), and cavernous (n = 1). The one cavernous angioleiomyoma was a hypoechoic mass with rich vascularity. Hypoechogenicity was more frequently observed for venous tumors (77.3%) than for capillary tumors (43.8%), and isoechogenicity was more frequently observed for capillary tumors (56.2%) than for venous tumors (22.7%). Moderate vascularity was more frequently observed for venous tumors (59.1%) than for capillary tumors (12.5%), and little vascularity was more frequently observed for capillary tumors (62.5%) than for venous tumors (13.6%). The aforementioned findings including echogenicity (p = 0.034) and vascularity (p = 0.003) were statistically significant. CONCLUSION: Awareness of sonographic findings of angioleiomyomas based on pathologic subtypes could be helpful for diagnosing angioleiomyoma and could increase diagnostic accuracy for superficial soft-tissue masses in our practice.