Pereira Pedro, Melo Abreu Elisa, Cunha Teresa Margarida, Rolim Inês
Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.
Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
BMJ Case Rep. 2017 Apr 11;2017:bcr-2016-217705. doi: 10.1136/bcr-2016-217705.
A 45-year-old woman with a history of total hysterectomy with adnexal preservation for uterine leiomyomas presented to our hospital with a right gluteal palpable mass, which she first noticed 6 months before and had progressively enlarged since then.Radiological studies revealed a 14 cm lesion with translevator growth that displaced rather than invaded adjacent structures, with a peculiar whorled pattern on T2-weighted MRI, which enhanced following gadolinium administration. CT-guided biopsy was performed, and in conjunction with imaging features the diagnosis of an aggressive angiomyxoma was assumed and confirmed following surgical excision.
一名45岁女性，因子宫平滑肌瘤行全子宫切除并保留附件，因右臀可触及肿块就诊于我院。她6个月前首次发现该肿块，此后逐渐增大。影像学检查显示一个14厘米的病变，经肛提肌生长，推移而非侵犯相邻结构，在T2加权磁共振成像上有特殊的漩涡状表现，钆剂注射后增强。进行了CT引导下活检，并结合影像学特征，考虑为侵袭性血管黏液瘤，手术切除后得到证实。
