Angioleiomyoma of the common palmar artery (clinical case)
https://doi.org/10.64265/3033-649X-2026.2.2.70-76
Abstract
Introduction. Angioleiomyoma is a benign tumor arising from the smooth muscle layer of the vascular wall. These neoplasms can cause pain and mimic other pathologies, creating diffi culties in preoperative diagnosis, especially when located in the hand.
Aim. To present a clinical case of hand angioleiomyoma, demonstrate the challenges of diff erential diagnosis with neuromas, and evaluate the eff ectiveness of microsurgical treatment with vascular reconstruction.
Case description. A 62-year-old female patient presented with a 5-year history of intense pain in the fourth interdigital space of the left hand. Preoperative diagnostics, including ultrasound and magnetic resonance imaging, suggested a neuroma of the proper digital nerve. However, intraoperatively, a vascular mass arising from the wall of the common palmar digital artery was identifi ed. Microsurgical excision of the mass was performed with resection of the involved arterial segment and restoration of blood fl ow via an end-to-end anastomosis. Histological examination confi rmed the diagnosis of angioleiomyoma. In the postoperative period, signifi cant regression of pain was achieved.
Discussion. This clinical case highlights the necessity of including vascular neoplasms in the diff erential diagnosis of painful hand masses. Our case confi rms the eff ectiveness and successful outcome of microsurgical treatment of hand angioleiomyoma with subsequent restoration of vascular integrity by means of an end-to-end microsurgical anastomosis.
About the Authors
N. R. Iskandaryan
Federal Neurosurgical Center
Russian Federation
Russian Federation
Naira R. Iskandaryan – Neurosurgeon
Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087
S. V. Luksha
Federal Neurosurgical Center
Russian Federation
Russian Federation
Stanislav V. Luksha – Ultrasound Diagnostic Physician
Nemirovicha-Danchenko str., 132/1, Novosibirsk, 630087
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For citations:
Iskandaryan N.R., Luksha S.V. Angioleiomyoma of the common palmar artery (clinical case). Sibneuro. 2026;2(2):70-76. (In Russ.) https://doi.org/10.64265/3033-649X-2026.2.2.70-76
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