CASE 566: PERIVASCULAR TUMOR, Dr PHAN THANH HAI, Dr HO CHI TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

WOMAN 36YO  DETECTED  ONE MASS AT THE LEFT THIGH,  PAINFUL  PALPATION.

ULTRASOUND OF  THIS MASS.

US1:  THE PERIVASCULAR TUMOR  OF LEFT FEMORAL ARTERY  HAD HYPOECHOIC PATTERN ,  SIZE 4 CM  AND THE FEMORAL ARTERY IS STILL IN THIS MASS.

US2 : THE LEFT FEMORAL VEIN  DILATED  BUT  FEMORAL ARTERY IS NOT STENOSIS

US3 : COMPRESSION OVER THIS TUMOR  THE FEMORAL VEIN IS COMPRESSIBLE  

US 4:  CROSSED SECTION THIS MASS  THE ARTERY LUMEN STILL HAD NORMAL FLOW.  

SONOLOGIST SUSPECTED  THAT TUMOR OF PERIVASCULAR FEMORAL ARTERY.

MRI  OF THIS MASS  SHOWED  THIS TUMOR FROM THE WALL OF ARTERY  ( MRI1) 

MRI2  VEIN DILATATION.

CT ANGIO: NORMAL  FLOW OF LEFT FEMORAL ARTERY.

Operation  removes the tumor covered around  left  femoral artery.

MICROSCOPIC REPORT OF THIS TUMOR IS  LEIOMYOMA  OF VASCULAR WALL  ( ANGIOLEIOMYOMA).

REFERENCE CASE  

For 9 months post op: only removing tumor, now pain and touchable  beneath scar, the perivascular tumor is in recurrence.