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Subcutaneous angioleiomyomas: Gray‐scale and color Doppler sonographic appearances
Author(s) -
GomezDermit Vanesa,
Gallardo E.,
Landeras R.,
Echevarría Fernández,
Barredo R. García
Publication year - 2006
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20145
Subject(s) - vascularity , medicine , ultrasound , grey scale , color doppler , radiology , ultrasonography , soft tissue , doppler effect , nuclear medicine , physics , astronomy , computer science , computer vision
Purpose: To describe the gray‐scale Doppler and sonographic features of a series of subcutaneous angioleiomyomas.Methods: The sonographic appearances of 10 pathologically proven angioleiomyomas were retrospectively reviewed; 4 in women and 6 in men, with an age range from 33 to 77 years. We evaluated size, shape, echo pattern, margins, location, relationships with adjacent structures, and vascularity. Examinations were performed using a multifrequency linear array transducer (9–11 MHz) connected to a Logiq 500 scanner (GE, Milwaukee, Wl).Results: All tumors were subcutaneous and located in the extremities (7 in the lower extremities, 3 in the upper extremities). The sizes ranged from 0.6 to 6.4 cm, with an average size of 2 cm. All of the lesions were hypoechoic with well‐defined margins, and 9 were oval. Intratumoral calcifications were observed in two patients. Vascularity was easily detected in all of them, and 4 tumors had a clear vascular pedicle. The spectral Doppler analysis performed in 5 cases, revealing a low‐resistance arterial waveform in 4 patients.Conclusions: Although angioleiomyomas are uncommon soft tissue tumors, the presence of a well‐defined, hypoechoic, vascular subcutaneous tumor in the extremities should raise the possibility of such a diagnosis. © 2006 Wiley Periodicals, Inc. J Clin Ultrasound 34:50–54, 2006

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