case_images: PMC7433964_01
case_images: Clinical representation of lesion on lower lip
case_images: AMS-10-251-g001.jpg
case_images: PMC7433964_01_AMS-10-251-g001.jpg
case_images: F1
case_images: Clinical examination revealed an exophytic, nodular, reddish-purple, well-outlined lesion measuring about 1 cm x 1 cm in diameter, located on the left lower lip [Figure 1].
case_images: (a) Elliptical incision using laser was given, (b) Lower lip after excision of lesion
case_images: AMS-10-251-g002.jpg
case_images: PMC7433964_01_AMS-10-251-g002.jpg
case_images: F2
case_images: An elliptic incision was made to fully enucleate the lesion along with the overlying mucosa [Figure 2a and b].
case_images: (a) Histopathology characteristics, (b) Histopathological view with different magnification
case_images: AMS-10-251-g003.jpg
case_images: PMC7433964_01_AMS-10-251-g003.jpg
case_images: F3
case_images: The histological examination made with hematoxylin and eosin [Figure 3a] and smooth muscle actin staining [Figure 3b] revealed the diagnosis of angioleiomyoma. The lesion was composed of large vascular channels of varying caliber, surrounded by thick walls of irregularly arranged, spindle-shaped cells [Figure 3a]. The spindle-shaped cells showed elongated blunt-ended nuclei and eosinophilic cytoplasm-forming smooth muscle bundles showing interlacing patterns with collagen fibers between dilated and slit-like vascular spaces [Figure 3b].
case_images: Follow up clinical presentation on day 7
case_images: AMS-10-251-g004.jpg
case_images: PMC7433964_01_AMS-10-251-g004.jpg
case_images: F4
case_images: The postoperative course of the patient was uneventful with 7 days of follow-up [Figure 4].