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Clinical Problem Solving: Pathology
July 2004

Pathology Quiz Case 2—Diagnosis

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2004;130(7):890-891. doi:10.1001/archotol.130.7.889-b

Angiomyomas, or angioleiomyomas, are a vascular subtype of leiomyomas or benign smooth muscle tumors. The majority of these tumors occur in the extremities, typically as a slow-growing, firm, sometimes painful mass of the subcutis or deep dermis. The incidence of angiomyoma in the head and neck region is quite low. In a series of 562 cases, only 8.5% of angioleiomyomas were found in the head and neck region.1 Sites of occurrence that have been reported in the head and neck include the oral cavity, lower lip, auricle, submandibular region, nasal cavity, and mandible.24 Angiomyoma of the larynx has been reported but is exceedingly rare.57

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