Calvert Harriet, Kapurubandara Supuni, Nikam Yogesh, Sharma Raghwa, Achan Anita
Department of Obstetrics and Gynaecology, The Maitland Hospital, Maitland, NSW, Australia.
Department of Obstetrics and Gynaecology, John Hunter Hospital, Newcastle, NSW, Australia.
Case Rep Obstet Gynecol. 2018 Apr 29;2018:8579026. doi: 10.1155/2018/8579026. eCollection 2018.
Angiomyofibroblastoma (AMFB) is a rare, benign, mesenchymal cell tumour which presents as a slow-growing mass. It is most commonly seen in the vulva and is often mistaken for Bartholin's abscess. It is histologically diagnosed by the presence of stromal cells intermingled with small blood vessels. It is morphologically similar to cellular angiofibroma and aggressive angiomyxoma, the latter of which is locally invasive and has a possibility of metastasis and a high risk of local recurrence. There is one reported case of an AMFB undergoing sarcomatous transformation.
We report a case of a multiparous, 36-year-old woman with an anterior vaginal mass which was inappropriately treated as a vaginal prolapse prior to definitive surgical management. This is only the second reported case of an AMFB presenting as a prolapsing mass.
血管肌成纤维细胞瘤（AMFB）是一种罕见的良性间充质细胞瘤，表现为生长缓慢的肿块。它最常见于外阴，常被误诊为巴氏腺脓肿。其组织学诊断依据是存在与小血管混杂的基质细胞。它在形态上与细胞性血管纤维瘤和侵袭性血管黏液瘤相似，后者具有局部侵袭性，有转移的可能性且局部复发风险高。有一例血管肌成纤维细胞瘤发生肉瘤样变的报道。
我们报告一例36岁经产妇，其阴道前壁有一肿块，在明确手术治疗前被不恰当地当作阴道脱垂处理。这是第二例报道的以脱垂肿块形式出现的血管肌成纤维细胞瘤病例。
