Department of Gynaecology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Ir J Med Sci. 2009 Jun;178(2):223-5. doi: 10.1007/s11845-008-0138-y. Epub 2008 Feb 21.
Vaginal tumours are uncommon and this is a particularly rare case of a vaginal haemangioendothelioma in a 38-year-old woman. Initial presentation consisted of symptoms similar to uterovaginal prolapse with "something coming down". Examination under anaesthesia demonstrated a necrotic anterior vaginal wall tumour. Histology of the lesion revealed a haemangioendothelioma which had some features of haemangiopericytoma. While the natural history of vaginal haemangioendothelioma is uncertain, as a group, they have a propensity for local recurrence. To our knowledge this is the third reported case of a vaginal haemangioendothelioma. Management of this tumour is challenging given the paucity of literature on this tumour. There is a need to add rare tumours to our "knowledge bank" to guide management of these unusual tumours.
阴道肿瘤并不常见，而本例为一 38 岁女性阴道血管内皮细胞瘤，实属罕见。最初的表现类似于阴道子宫脱垂，有“东西掉下来”的感觉。麻醉下检查显示前阴道壁有一坏死性肿瘤。病变的组织学显示为血管内皮细胞瘤，具有一些血管外皮细胞瘤的特征。虽然阴道血管内皮细胞瘤的自然病程尚不确定，但总体上有局部复发的倾向。据我们所知，这是第三例阴道血管内皮细胞瘤的报道。由于该肿瘤的文献资料有限，因此对其进行管理极具挑战性。我们需要将罕见肿瘤纳入我们的“知识库”，以指导这些不常见肿瘤的治疗。
