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Case Reports
. 2017 May 12:2017:bcr2016219172.
doi: 10.1136/bcr-2016-219172.

Angioleiomyoma of the upper lip

Yazan Hassona  1 , Faleh Sawair  1 , Crispian Scully  2
Affiliations
Case Reports

Angioleiomyoma of the upper lip

Yazan Hassona et al. BMJ Case Rep. .

Abstract

This report describes a case of labial angioleiomyoma in a 52-year-old woman. The patient had noticed a slow-growing painless isolated mass in her upper lip for 6 months. The mass was surgically excised, and pathological examination was consistent with angioleiomyoma. Surgical excision was curative, and there was no recurrence at 12-month follow-up.

Keywords: Dentistry and oral medicine; Ear, nose and throat/otolaryngology; Mouth.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Clinical examination revealed the presence of a pea-sized mass occupying the central zone of the upper lip. The mass was firm, well-circumscribed, non-tender to palpation, covered by normal vermilion mucosa, and did not blanch with pressure.
Figure 2
Figure 2
Macroscopic examination revealed a small mass which was well-circumscribed, light-brown in colour, firm in consistency, oval in shape and having a smooth surface.
Figure 3
Figure 3
(A) Microscopic examination (H&E) revealed that the mass was well-circumscribed and composed of vascular channels. (B) The vascular channels were surrounded by fascicles of concentrically arranged spindle cells. (C) Tumour cells exhibited eosinophilic cytoplasm and oval nuclei showing no mitotic figures and a minimal degree of pleomorphism. (D) Immunohistochemical examination (SMA) revealed that the spindle cells were strongly positive for smooth muscle actin (SMA). In addition, the walls of vascular spaces were also positive for SMA.
Figure 4
Figure 4
Complete surgical excision was performed under local anaesthesia. The mass was not adherent to the surrounding tissues and was removed in one piece.
Figure 5
Figure 5
At 12-month follow-up, there was no recurrence, and the area had healed without complications.
See this image and copyright information in PMC

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