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外阴黏液样上皮样平滑肌瘤:1例报告

Myxoid epithelioid leiomyoma of the vulva: a case report.

作者信息

Zhou Jianhong, Ha Byeong K, Schubeck Dianne, Chung-Park Moonja

机构信息

Department of Pathology, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

出版信息

Gynecol Oncol. 2006 Oct;103(1):342-5. doi: 10.1016/j.ygyno.2006.04.001. Epub 2006 Jun 12.

Abstract

BACKGROUND

Smooth muscle tumors of the vulva are rare and sometimes create diagnostic difficulty because of unusual morphological features.

CASE

A 29-year-old African-American female presented with a vulval mass during her 5th week of pregnancy. The lesion was surgically removed under the clinical impression of a Bartholin cyst. Histopathological findings of the lesion and immunohistochemical stain results are characteristic of myxoid epithelioid leiomyoma.

CONCLUSION

Up to now, there are only a few cases of myxoid epithelioid leiomyoma of the vulva reported in English literature. We review previously reported cases and discuss the morphologic differential diagnosis. The mass presented in this report was the largest benign epithelioid leiomyoma in the literature.

摘要

背景

外阴平滑肌瘤较为罕见,有时因其形态特征异常而造成诊断困难。

病例

一名29岁的非裔美国女性在怀孕第5周时出现外阴肿物。在临床诊断为巴氏腺囊肿的情况下,该病变被手术切除。病变的组织病理学检查结果及免疫组化染色结果具有黏液样上皮样平滑肌瘤的特征。

结论

迄今为止,英文文献中仅报道了少数几例外阴黏液样上皮样平滑肌瘤病例。我们回顾了既往报道的病例并讨论了形态学鉴别诊断。本报告中出现的肿物是文献中最大的良性上皮样平滑肌瘤。

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