Grigoriadis C, Androutsopoulos G, Zygouris D, Arnogiannaki N, Terzakis E
Clin Exp Obstet Gynecol. 2014;41(1):102-4.
Angioleiomyoma or angiomyoma or vascular leiomyoma is an unusual benign mesenchymal neoplasm. The authors present a rare case of large uterine angioleiomyoma causing severe abnormal uterine bleeding.
The patient, a 53-year-old, gravida 2, para 2, premenopausal Greek woman presented with a complaint of severe abnormal uterine bleeding. On gynecologic examination there was a palpable pelvic mass. Preoperative computer tomography (CT) of the abdomen and pelvis revealed an intra-abdominal mass 25 x 15 cm with abnormally increased vascularization. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, total omentectomy and elective pelvic lymph node dissection. Histopathology revealed uterine angioleiomyoma. Follow up 84 months after initial surgery showed no evidence of recurrence.
Despite the type of surgery, patients with uterine angioleiomyoma have very low risk of recurrence and excellent prognosis.
血管平滑肌瘤或血管肌瘤或血管性平滑肌瘤是一种罕见的良性间叶性肿瘤。作者报告了一例罕见的巨大子宫血管平滑肌瘤导致严重异常子宫出血的病例。
患者为一名53岁、孕2产2、绝经前的希腊女性，主诉严重异常子宫出血。妇科检查可触及盆腔肿块。术前腹部和盆腔计算机断层扫描（CT）显示腹腔内有一个25×15 cm的肿块，血管化异常增加。她接受了全腹子宫切除术、双侧输卵管卵巢切除术、全网膜切除术和选择性盆腔淋巴结清扫术。组织病理学显示为子宫血管平滑肌瘤。初次手术后84个月的随访未发现复发迹象。
无论手术方式如何，子宫血管平滑肌瘤患者的复发风险极低，预后良好。
