Angiomyoma on Face : A Case Report

Korean Journal of Head & Neck Oncology 2013;29(2):48-50.
Published online November 30, 2013.

Junho Choi;Hak Chang

안면부에 발생한 혈관근종의 치험례 : 증례보고

최준호;장학

Abstract

Angiomyoma is a rare, benign smooth muscle cell tumor. These tumors may be found anywhere in the body. They frequently occur in the lower extremities except venous type. Angiomyoma in the head and neck area is very rare, and only a few cases have been reported. A 63 year-old male patient visited to outpatient clinic due to size-grow-ing nodule-like lesion in the Lt. alar area. Excisional biopsy was done for diagnosis. The lesion was totally excised with 2 mm safety margin. Frozen biopsy of the lesion was requested, and all resection margins were proved neg-ative. To cover the raw surface, full thickness skin grafting was performed. The graft was harvested from Rt. pos-terior auricular area. Tie over dressing was applyed on Lt. alar area. The graft was well taken and healed without any complication in both short term and long term follow up periods of 2 weeks, 1 month, 2 months, and 6 months. Donor site completed healed without any complications. The leiomyoma is benign tumor originated from smooth muscle, and it can be classified into solid leiomyoma, angiomyoma, and epithelioid leiomyoma. Especially, the an-giomyoma consists of smooth muscle cell and blood vessel, and it is originated from the tunica media of blood vessel. Angiomyoma alone frequently occurs in the lower extremities as solitary painless subcutaneous tumor. Ve-nous type of angiomyoma in the oral cavity was reported in other references, but on the facial surface it may be the first case reported as paper. So this report can be very meaningful.

Key Words: Angiomyoma, Leiomyoma, Smooth muscle tumor, Venous type, Tumor on facial skin