Mikos Themistoklis, Theodoulidis Iakovos, Dampala Kalliopi, Tsiapakidou Sofia, Spanos Costas P, Grimbizis Grigoris F
1st Department of Obstetrics & Gynecoloogy, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
1st Surgical Clinic, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
Case Rep Womens Health. 2021 Feb 12;30:e00295. doi: 10.1016/j.crwh.2021.e00295. eCollection 2021 Apr.
Cellular angiofibroma is a recently described rare benign soft-tissue tumor more commonly presenting in middle-aged women, often mimicking malignancy. The vulva is most common location. Complete local excision is the best curative treatment and usually there is no recurrence after surgery. We describe a 49-year-old woman with a painless tumor in the left ischiorectal fossa. It was a random finding in a routine computed tomography (CT) scan after resection of ear melanoma 3 years previously. Ultrasonography showed a solid mass, and further magnetic resonance imaging (MRI) suggested a rhabdomyosarcoma. Altogether, these findings indicated malignant disease. An uncomplicated simple excision of the tumor was done in the operating theatre. The mass measured 7×5×5 cm and the histopathological examination found that it was a cellular angiofibroma, a benign lesion. There were no postoperative complications. This case report highlights the need for multidisciplinary team management of rare tumors such as cellular angiofibromas.
细胞性血管纤维瘤是一种最近才被描述的罕见良性软组织肿瘤，多见于中年女性，常表现出恶性肿瘤的特征。外阴是最常见的发病部位。完整的局部切除是最佳的治疗方法，术后通常不会复发。我们报告一例49岁女性，其左坐骨直肠窝有一无痛性肿瘤。该肿瘤是3年前耳部黑色素瘤切除术后常规计算机断层扫描（CT）检查时偶然发现的。超声检查显示为实性肿块，进一步的磁共振成像（MRI）提示为横纹肌肉瘤。综合这些结果提示为恶性疾病。在手术室对肿瘤进行了简单的无并发症切除。肿块大小为7×5×5 cm，组织病理学检查发现为细胞性血管纤维瘤，是一种良性病变。术后无并发症。本病例报告强调了对细胞性血管纤维瘤等罕见肿瘤进行多学科团队管理的必要性。
