Tanaka Yuji, Nagasaka Mayuko, Takahashi Mariko, Kobayashi Masashi
Department of Obstetrics and Gynecology, Kohka Public Hospital, Minakuchichomatsuo 1256, Koka, Shiga 528-0074, Japan.
Case Rep Obstet Gynecol. 2017;2017:2190135. doi: 10.1155/2017/2190135. Epub 2017 Feb 28.
Epithelioid leiomyoma of the vagina is extremely rare. Smooth muscle tumors of the vagina usually present with a submucosal growth pattern or a pedunculated growth pattern from the anterior vaginal wall into the vaginal cavity. Here we report a case of a 43-year-old woman with a solid epithelioid leiomyoma and a palpable mass in the pouch of Douglas. Transvaginal biopsy and angiography showed the epithelioid leiomyoma feeding from the vaginal artery behind the posterior vagina. An abdominal wide excision of the tumor with a partial vaginectomy was performed. Our use of ultrasound-guided needle biopsy and angiography was useful for preoperative diagnosis of a vaginal epithelioid leiomyoma exhibiting a pelvic mass.
阴道上皮样平滑肌瘤极为罕见。阴道平滑肌瘤通常呈现为黏膜下生长模式或从阴道前壁向阴道腔内呈带蒂生长模式。在此，我们报告一例43岁女性患者，患有实性上皮样平滑肌瘤且在Douglas陷凹处可触及肿块。经阴道活检及血管造影显示，该上皮样平滑肌瘤由阴道后壁后方的阴道动脉供血。遂行肿瘤腹侧广泛切除术及部分阴道切除术。我们运用超声引导下针吸活检及血管造影对表现为盆腔肿块的阴道上皮样平滑肌瘤进行术前诊断，效果良好。
