INTRAMURAL LEIOMYOSARCOMA OF THE DORSAL PEDAL VEIN - A CLINICAL MIMICRY OF GANGLION

A 75-year-old woman presented with a ganglion-like nodule on the dorsa l aspect of the right foot. A 2.5 x 1.5 cm, saccular and malleable tum or, that was in continuity with the dorsal venous arch, was completely resected. It was characterized by a diffuse intramural and circumfere ntial, low grade, malignant, smooth muscle proliferation with an aneur ysmal-like luminal space. No endoluminal or periadventitial invasive n eoplastic component was present. The patient had no evidence of diseas e at 58-month follow-up. This is the first reported case of venous lei omyosarcoma in the foot. Furthermore, the intramural confinement of ne oplastic growth is a unique observation.