Hernández Monge Alejandro, Estrada Moscoso Isaías, Márquez Iribe Patricia, Alanis Fuentes José, Pacheco Pineda Ruth
Subdirección de ginecología y obstetricia, Hospital General Dr. Manuel Gea González, SSA, Mexico, DF.
Ginecol Obstet Mex. 2006 Sep;74(9):499-502.
The vulvar cellular angiofibroma is a rare mesenchymal tumor. It can be located in many places, but it is more frequent in the vulvar area. It is characterized for being of superficial and slow-growth and for having low propensity of local recurrence. It was described in 1997 by Nucci and it had been reported 51 cases worldwide, from which 18 had vulvar location. This is the first case in Mexico City. It was found in a 36 years-old woman. The specimen was processed by structural and immunohistochemical analysis. Misdiagnosis is common and it can be confounded with spindle cell lipoma, hydrocele of the canal of Nuck, fibromas, angiomyofibroblastoma and many other mesenchymal tumors. It should be distinguished from the aggresive angiomixoma. To improve the clinical diagnosis and treatment, it is very important to have in mind this relatively new entity.
外阴细胞性血管纤维瘤是一种罕见的间叶组织肿瘤。它可发生于多个部位,但在外阴区域更为常见。其特点是表浅、生长缓慢且局部复发倾向低。1997年由努奇首次描述,全球共报道51例,其中18例发生于外阴。这是墨西哥城的首例病例。患者为一名36岁女性。标本进行了结构和免疫组化分析。误诊很常见,它可能与梭形细胞脂肪瘤、努克管鞘膜积液、纤维瘤、血管肌纤维母细胞瘤及许多其他间叶组织肿瘤相混淆。它应与侵袭性血管黏液瘤相鉴别。为改善临床诊断和治疗,牢记这个相对较新的实体非常重要。