Department of Pathology, China Medical University Hospital, 2 Yuh-Der Road, Taichung City, Taiwan.
Arch Pathol Lab Med. 2012 May;136(5):567-71. doi: 10.5858/arpa.2011-0078-RS.
Uterine hemangioma is a rare benign tumor usually presenting with menorrhagia or pregnancy-associated complications. Although the current literature identifies fewer than 50 cases, we in our institution identified 5 similar cases among 3700 patients undergoing total hysterectomy from January 2006 to December 2010. Adenomyosis was the most common preoperative diagnosis among our patients. Vaginal examination, uterine curettage specimens, ultrasonography, and hysterography are usually uninformative, and the definitive diagnosis relies on the final histologic examination. The differential diagnosis includes adenomatoid tumor, lymphangioma, and arteriovenous malformation. Uterine hemangiomas are classified into congenital and acquired. The former is believed to be associated with some hereditary diseases, while the latter is associated with both physical changes and hormone alteration, especially high estrogen level. The best treatment for hemangiomas is unclear. However, it is very important to obtain an accurate diagnosis to prevent overtreatment among reproductive-age women. The prognosis is excellent after hysterectomy.
子宫血管瘤是一种罕见的良性肿瘤，通常表现为月经过多或与妊娠相关的并发症。尽管目前的文献记载不足 50 例，但在 2006 年 1 月至 2010 年 12 月期间，我们机构在对 3700 例接受全子宫切除术的患者中发现了 5 例类似病例。在我们的患者中，最常见的术前诊断是腺肌病。阴道检查、子宫刮除标本、超声检查和子宫造影术通常没有提供有价值的信息，明确的诊断依赖于最终的组织学检查。鉴别诊断包括腺肌瘤、淋巴管瘤和动静脉畸形。子宫血管瘤分为先天性和后天性。前者被认为与某些遗传性疾病有关，而后者与物理变化和激素改变有关，尤其是高水平的雌激素。治疗血管瘤的最佳方法尚不清楚。然而，对于生育期妇女来说，获得准确的诊断以避免过度治疗非常重要。子宫切除术的预后良好。
