Kumar, Sandeep and Hasan, Roumina and Maddukuri, Satish Babu and Mathew, Mary (2014) Angiomyoma Presenting as a Painful Subcutaneous Mass: A Diagnostic Challenge. BMJ Case Reports. pp. 1-4.

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Abstract

Angiomyoma of the extremity is a notoriously elusive preoperative diagnosis, as the list of differentials for its described classic clinical features of a painful mobile subcutaneous mass is quite vast. Imaging features described for angiomyomas are far from being specific. On ultrasound, angiomyomas are mostly described as a welldefined solid mass lesion showing robust internal vascularity. On T2-weighted MRI they have been described as homogenous to heterogeneously hyperintense relative to skeletal muscle. We report a pathologically proven angiomyoma around the knee joint in a middle aged man, describe its clinical and imaging features, and outlay an approach in diagnosing this rare entity as a differential for painful subcutaneous mass lesions.

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