Grauso Flavio, Balbi Giancarlo, D'Aponte Maria Luisa, Ronchi Andrea, Russo Roberto, Falcone Francesca, Messalli Enrico Michelino
Department of Woman, Child and General and Specialized Surgery, Second University of Naples, Naples, Italy.
Department of Surgical Pathology, ASL NA1, Naples, Italy.
J Turk Ger Gynecol Assoc. 2015 Jul 14;16(3):189-91. doi: 10.5152/jtgga.2015.15018. eCollection 2015.
Vaginal angiomatosis is regarded as part of a very rare entity of benign vascular tumors of the female genital tract. The incidence of these tumors is extremely low. The rarity of this disease and lack of distinctive features poses a problem of differential diagnosis. We present the case of a 51-year-old female with grade III uterine prolapse and a bleeding vaginal wall mass. Violaceous irregular soft tissue with hemorrhagic spots was observed in the lower third of the posterior vaginal wall. The patient underwent surgery for colpohysterectomy with vaginal wall mass excision. Surgical excision was curative, and no recurrences were observed after 12 months of follow-up. The aim of our study is to present a rare but representative case. This will hopefully increase the level of awareness regarding this condition so that physicans will keep it in mind during differential diagnosis of similar clinical cases. Furthermore, it highlights the important role of pathological examination for the definitive diagnosis of angiomatosis.
阴道血管瘤病被视为女性生殖道良性血管肿瘤这一极为罕见实体的一部分。这些肿瘤的发病率极低。这种疾病的罕见性以及缺乏独特特征给鉴别诊断带来了难题。我们报告一例51岁女性，患有III度子宫脱垂和阴道壁出血性肿物。在阴道后壁下三分之一处观察到有瘀斑的不规则紫蓝色软组织。患者接受了阴道子宫切除术及阴道壁肿物切除术。手术切除具有治愈性，随访12个月未观察到复发。我们研究的目的是呈现一个罕见但具有代表性的病例。这有望提高对这种疾病的认识水平，以便医生在类似临床病例的鉴别诊断过程中能够予以考虑。此外，它凸显了病理检查对血管瘤病明确诊断的重要作用。
