Sonographic and clinical features of angioleiomyoma presenting as a painful Achilles tendon mass

Jay Smith, Stephen J. Wisniewski, Robert A. Lee

Research output: Contribution to journalReview article

14 Scopus citations


Angioleiomyomas are benign soft tissue tumors arising from the smooth muscle cells of blood vessels. These tumors are relatively infrequent and typically present as small (<2 cm), freely movable, painful masses. Although most frequently reported in the lower extremity and in middle-aged female patients, angioleiomyomas can be found throughout the body in male and female adults of all ages. Sonography is often used in the initial evaluation of soft tissue masses; therefore, sonographers should be familiar with the clinical and imaging features of angioleiomyomas. We report a case of a slowly growing, lateral Achilles tendon mass initially evaluated by sonography and subsequently by magnetic resonance imaging (MRI). Surgical excision confirmed the diagnosis of angioleiomyoma, likely arising from a branch of the lesser saphenous vein. The clinical and imaging features of this infrequent tumor are reviewed.

Original languageEnglish (US)
Pages (from-to)1365-1368
Number of pages4
JournalJournal of Ultrasound in Medicine
Issue number10
StatePublished - Jan 1 2006


ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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