Soft tissue tumors and treatment Open access Peer reviewed

Angioleiomyoma of the Ankle with adjacent Superficial Peroneal Neuritis: A Case Report

Jonathan Edelstien, Sophia Bacarella, Ahra Cho, Julie Lin

Journal of the Foot & Ankle | Aug 31, 2026

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A rare case of angioleiomyoma arising over the superficial peroneal nerve at the ankle is presented, highlighting its clinical presentation, imaging characteristics, surgical management, and histopathologic findings.

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Angioleiomyoma is a rare, benign soft tissue neoplasm accounting for approximately 0.2% of all tumors of the foot and ankle. It occurs most frequently in women, with a mean age at presentation of approximately 47 years. Angioleiomyoma arises from smooth muscle proliferation within the tunica media of vessels, possibly originating from arteriovenous anastomoses, and forms a well-circumscribed vascular smooth muscle tumor. Complete surgical excision is considered curative in most cases and is associated with a low reported recurrence rate. Approximately 1% of cases transform into malignant variants, including leiomyosarcoma. Early identification and appropriate management are therefore essential to optimize outcomes and mitigate the potential risk of malignant progression. We present a rare case of angioleiomyoma arising over the superficial peroneal nerve at the ankle, highlighting its clinical presentation, imaging characteristics, surgical management, and histopathologic findings. Level of Evidence IV, Case Report

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Jonathan Edelstien

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Sophia Bacarella

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Ahra Cho

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Julie Lin

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@article{Edelstien2026Angioleiomyoma,
  title = {Angioleiomyoma of the Ankle with adjacent Superficial Peroneal Neuritis: A Case Report},
  author = {Jonathan Edelstien and Sophia Bacarella and Ahra Cho and Julie Lin},
  journal = {Journal of the Foot & Ankle},
  year = {2026},
  doi = {10.30795/jfootankle.2026.v20.2106},
  url = {https://doi.org/10.30795/jfootankle.2026.v20.2106}
}

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