Skip to main content

Advertisement

SpringerLink
Log in

Ultrasonographic analysis of subcutaneous angiolipoma

  • Scientific Article
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Objective

To describe and analyze the ultrasonographic appearance of subcutaneous angiolipoma in pathology-proven cases.

Materials and methods

We retrospectively searched the January 2004 to May 2011 surgical pathology database for cases of pathology-proven angiolipoma. The ultrasonographic findings were analyzed for angiolipoma size, shape, margin, echo texture, echogenicity, acoustic enhancement, calcifications, and color Doppler flow.

Results

Of 31 angiolipomas, 19 lesions occurred in an upper extremity, one in a lower extremity, nine in the chest and abdominal wall, and two in the back. The mean tumor size was 17.7 mm. Twenty-five cases (80%) appeared as oval mass and all tumors had well-defined margins. All cases showed hyperechoic; 14 (45%), homogeneous; 17 (55%), heterogeneous. Seven cases (23%) showed blood flow in the mass. Acoustic enhancement and calcification was not shown in any cases. A correct preoperative diagnosis was made in three cases (10%) by ultrasonography.

Conclusions

Most subcutaneous angiolipomas are oval-shaped, have well-defined margins, and hyperechoic appearance on ultrasonography. Although color Doppler flow of subcutaneous angiolipoma is not seen in many cases, it may helpful in differentiating angiolipoma from ordinary subcutaneous lipoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Howard WR, Helwig EB. Angiolipoma. Arch Dermatol. 1960;82:924–31.

    Article  PubMed  CAS  Google Scholar 

  2. Kyriakos M. Tumors and tumorlike conditions of the soft tissue. In: Kissane JM, editor. Anderson’s pathology. 9th ed. St Louis, Mo: Mosby; 1990. p. 1838–928.

    Google Scholar 

  3. Lin JJ, Lin F. Two entities in angiolipoma: a study of 459 cases of lipoma with review of literature on infiltrating angiolipoma. Cancer. 1974;34:720–7.

    Article  PubMed  CAS  Google Scholar 

  4. Christopher D, Unni K, Mertens F. Adipocytic tumors. WHO Classification of tumors. Pathology and genetics: tumors of soft tissue and bone. Lyon, France: IARC, 2002;19–46.

  5. Murphey MD, Fairbairn KJ, Parman LM, Baxter KG, Parsa MB, Smith WS. Musculoskeletal angiomatous lesions: radiologic-pathologic correlation. Radiographics. 1995;15:893–917.

    PubMed  CAS  Google Scholar 

  6. Murphey MD, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ. From the archives of the AFIP: benign musculoskeletal lipomatous lesions. Radiographics. 2004;24:1433–66.

    Article  PubMed  Google Scholar 

  7. Punia RS, Jain P. Amanjit, Mohan H, Singh R. Subcutaneous angiolipomas: a clinicopathological study of 12 cases. Indian J Pathol Microbiol. 2005;48:197–8.

    PubMed  Google Scholar 

  8. Lapidoth M. Ben Amitai D, Feinmesser M, Akerman L. Capillary malformation associated with angiolipoma: analysis of 127 consecutive clinic patients. Am J Clin Dermatol. 2008;9:389–92.

    Article  PubMed  Google Scholar 

  9. Choong KK. Sonographic appearance of subcutaneous angiolipomas. J Ultrasound Med. 2004;23:715–7.

    PubMed  Google Scholar 

  10. Allen PW. Tumors and proliferations of adipose tissue: clinicopathologic approach. New York: Masson Publishing; 1981. p. 14–7.

    Google Scholar 

  11. Sciot R, Akerman M, Cin PD, et al. Cytogenetic analysis of subcutaneous angiolipoma: further evidence supporting its difference from ordinary pure lipomas. Am J Surg Pathol. 1997;21:441–4.

    Article  PubMed  CAS  Google Scholar 

  12. Tavassoli FA. Mesenchymal lesions. In: Tavassoli FA, editor. Pathology of the Breast. Norwalk, CT: Appleton & Lange; 1992. p. 517–60.

    Google Scholar 

  13. Inampudi P, Jacobson JA, Fessell DP, et al. Soft-tissue lipomas: accuracy of sonography in diagnosis with pathologic correlation. Radiology. 2004;233:763–7.

    Article  PubMed  Google Scholar 

  14. Rosenfield Darling ML, Babagbemi TO, Smith DN, Brown FM, Lester SC, Meyer JE. Mammographic and sonographic features of angiolipoma of the breast. Breast J. 2000;6:166–70.

    Article  Google Scholar 

  15. Weinstein SP, Conant EF, Acs G. Case 59: Angiolipoma of the breast. Radiology. 2003;227:773–5.

    Article  PubMed  Google Scholar 

  16. Fornage BD, Tassin GB. Sonographic appearances of superficial soft tissue lipomas. J Clin Ultrasound. 1991;19:215–20.

    Article  PubMed  CAS  Google Scholar 

  17. Ahuja AT, King AD, Kew J, King W, Metreweli C. Head and neck lipomas: sonographic appearance. Am J Neuroradiol. 1998;19:505–8.

    PubMed  CAS  Google Scholar 

  18. Teh J. Applications of Doppler imaging in the musculoskeletal system. Curr Probl Diagn Radiol. 2006;35:22–34.

    Article  PubMed  Google Scholar 

  19. Weiss S, Goldblum J. Benign lipomatous tumors: Enzinger and Weiss’s soft tissue tumors. 4th ed. St Louis, Mo: Mosby; 2001. p. 571–639.

    Google Scholar 

Download references

Acknowledgments

We thank Bonnie Hami, Department of Radiology, University Hospitals of Cleveland, for her editorial assistance in the preparation of this manuscript.

Conflict of interest

The authors declare that they have no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Radiology, University of Ulsan College of Medicine, Ulsan University Hospital, 290-3 Jeonha-dong, Dong-gu, Ulsan, 682-714, Korea

    Minseo Bang, Byeong Seong Kang, Jae Cheol Hwang, Young Cheol Weon, Seong Hoon Choi, Shang Hun Shin, Woon Jung Kwon & Sun Young Lee

  2. Department of Radiology, Konyang University Hospital, College of Medicine, Daejon, Korea

    Cheol Mog Hwang

Authors
  1. Minseo Bang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Byeong Seong Kang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jae Cheol Hwang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Young Cheol Weon
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Seong Hoon Choi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Shang Hun Shin
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Woon Jung Kwon
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Cheol Mog Hwang
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Sun Young Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Byeong Seong Kang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bang, M., Kang, B.S., Hwang, J.C. et al. Ultrasonographic analysis of subcutaneous angiolipoma. Skeletal Radiol 41, 1055–1059 (2012). https://doi.org/10.1007/s00256-011-1309-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-011-1309-x

Keywords

Search

Navigation