Chakrabarti Indranil, De Anuradha, Pati Shyamapada
Departments of Pathology, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India.
J Midlife Health. 2011 Jan;2(1):42-3. doi: 10.4103/0976-7800.83274.
Leiomyomas are common benign tumors in the uterus. However, vaginal leiomyomas remain an uncommon entity with only about 300 reported cases. Here, we report a case of a 38-year-old multigravida who presented with lower abdominal pain and vaginal bleeding. A physical examination and ultrasonography were performed, and a diagnosis of cervical fibroid was made. Pervaginal removal of the tumor was performed and subsequent histopathology revealed a vaginal leiomyoma. Although a rare tumor, vaginal leiomyomas may present with a variety of clinical features and may be mistaken preoperatively for cervical fibroid. Removal of tumor by vaginal route, wherever possible, with subsequent histopathological examination appears to be the optimum management plan.
平滑肌瘤是子宫常见的良性肿瘤。然而，阴道平滑肌瘤仍然是一种罕见的病症，仅有约300例报道病例。在此，我们报告一例38岁经产妇，她出现下腹部疼痛和阴道出血症状。进行了体格检查和超声检查，诊断为宫颈肌瘤。经阴道切除肿瘤，随后的组织病理学检查显示为阴道平滑肌瘤。尽管是罕见肿瘤，但阴道平滑肌瘤可能呈现多种临床特征，术前可能被误诊为宫颈肌瘤。尽可能经阴道切除肿瘤，并随后进行组织病理学检查，似乎是最佳的治疗方案。
