Seppings Stella Clare, Samir Hashim, Abdelrahman Islam
Department of Otorhinolaryngology, Abertawe Bro Morgannwg University Health Board, Swansea, UK.
Department of Radiology, West Wales General Hospital, Carmarthen, UK.
BMJ Case Rep. 2017 Feb 13;2017:bcr2016218027. doi: 10.1136/bcr-2016-218027.
A 46-year-old woman presented with a 2-week history of a painless golf ball sized lump in her vagina. Despite transvaginal ultrasound scan, biopsy and MRI, it was only after surgery had been performed that it became clear what the nature of the mass actually was.Immunohistochemistry revealed the lump to be an aggressive angiomyxoma. Follow-up MRI showed residual (or recurrence of) angiomyxoma which was successfully treated with monthly injections of (leuprorelin acetate), a gonadotropin-releasing hormone agonist. Further MRI showed complete resolution of the lesion.
一名46岁女性因阴道内出现无痛性高尔夫球大小肿块2周前来就诊。尽管进行了经阴道超声扫描、活检和磁共振成像（MRI）检查，但直到手术完成后，肿块的实际性质才明确。免疫组化显示该肿块为侵袭性血管黏液瘤。随访MRI显示有血管黏液瘤残留（或复发），通过每月注射促性腺激素释放激素激动剂醋酸亮丙瑞林成功治疗。进一步的MRI显示病变完全消退。
