Open AccessCalcified Leiomyoma of the Distal Forearm in a Child: A Case Report and Review of Literature
Author(s) -
Nadeeke Nidhan Perera,
S.R. Wijayasinghe,
Karuna Dissanayake,
J Fernando,
Ethige Tharushi De Silva
Publication year - 2020
Publication title -
case reports in orthopedics
Language(s) - English
Resource type - Journals
eISSN - 2090-6749
pISSN - 2090-6757
DOI - 10.1155/2020/8821265
Subject(s) - medicine , forearm , lesion , angioleiomyoma , calcification , leiomyoma , soft tissue , wrist , anatomy , radiology , pathology
Background Deep somatic leiomyomas arising in skeletal muscle are extremely rare in children, especially in the extremities. Around half of them show calcifications. We present a rare case of a calcified leiomyoma of the distal forearm in a child. Case Summary . A seven-year-old boy presented with right distal forearm and wrist pain with restricted supination for 4 years. X-ray showed ring and arc calcifications in the distal forearm at the interosseous area. MRI also confirmed a well-defined soft tissue lesion with areas of calcifications. A diagnosis of a cartilage-forming lesion or a peripheral nerve sheath tumour was suggested. The lesion was completely excised. Histology showed a lesion composed of intersecting fascicles of spindle cells with stromal calcification having immunohistochemical features of a leiomyoma.Conclusion Although soft tissue calcifications can be seen in a plethora of conditions seen in daily orthopaedic practise, a high index of suspicion should be maintained for rare conditions like deep somatic leiomyoma.