A 54-year-old @entity1 reported on intermittent attacks of @entity158 attacks in the @entity2091 , that she had for the first time during her pregnancies 24 years and 17 years before, disappearing with the birth of her @entity1 . Nevertheless the @entity158 recurred at the beginning of the climacteric and became more frequent in the subsequent years. The @entity158 attacks were often triggered by a soft touch but they also arose spontaneously: nearly every night the @entity1 was awakened between 1:00 and 4:00 a. m. by a @entity158 attack lasting about 20-40 min. Special diagnostic methods such as phlebography, computed tomography, scintiscan did not show any pathologic findings, except a residual bone deformation of the @entity2091 as a consequence of a @entity2091 fracture 20 years before. The @entity1 was treated continuously for about 7 years with injections and different medical and paramedical methods, with no improvement. She started to write a diary about the times and the frequency of the @entity158 attacks. This was diagnosed as a @entity6004 and several sessions of psychological analysis revealed many problems in her life. Finally, an operation was performed in the @entity158 region, revealing a @entity5 0.6 cm in size, which was diagnosed on histological examination as a @entity11003 . The @entity1 was instantly free of @entity158 and still felt well 6,5 years later. According to the literature, @entity11003 is the only @entity5 of the soft tissue except @entity5 that usually produces severe @entity158 attacks.

[Intermittent painattacks: a typical sign of a XXXX ].

@entity1 :: ('9606', 'Species') :: ['women', 'children', 'woman', 'patient'] @entity11003 :: ('MESH:D018229', 'Disease') :: ['vascular leiomyoma'] @entity2091 :: ('MESH:C535563', 'Disease') :: ['tibia'] @entity5 :: ('MESH:D009369', 'Disease') :: ['white elastic tumour', 'glomus tumour', 'tumour'] @entity6004 :: ('MESH:D009497', 'Disease') :: ['neurotic behaviour'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'painful']
@entity11003 :: (MESH:D018229,Disease) :: ['vascular leiomyoma']
