Frontiers in Oncology (Dec 2022)

Diagnostic and surgical management of primary central nervous system angioleiomyoma: A case report and literature review

  • Emanuele Rubiu,
  • Emanuele Rubiu,
  • Emanuele La Corte,
  • Emanuele La Corte,
  • Giulio Bonomo,
  • Giulio Bonomo,
  • Francesco Restelli,
  • Francesco Restelli,
  • Jacopo Falco,
  • Jacopo Falco,
  • Elio Mazzapicchi,
  • Elio Mazzapicchi,
  • Morgan Broggi,
  • Marco Paolo Schiariti,
  • Bianca Pollo,
  • Valentina Pinzi,
  • Maria Grazia Bruzzone,
  • Francesco Di Meco,
  • Francesco Di Meco,
  • Francesco Di Meco,
  • Francesco Acerbi,
  • Francesco Acerbi,
  • Paolo Ferroli

DOI
https://doi.org/10.3389/fonc.2022.1072270
Journal volume & issue
Vol. 12

Abstract

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Angioleiomyoma (ALM) is a benign smooth muscle neoplasm that mainly occurs in lower extremities subcutaneous tissue and generally affects middle-aged adults. This tumor histotype may rarely localize intracranially, although only a few cases have been described in the literature. We report a case of intracranial ALM, whose differential diagnosis has been particularly challenging, and firstly provide a comprehensive radiological and intra-operative evaluation of a such rare entity. This represents also the first report of the use of intraoperative confocal microscopy in ALM and the first documented short-term recurrence. At this regard, a scoping literature review has been conducted with the aim of presenting the major clinical and diagnostic features along with the proposed therapeutic strategies.

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