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肛周侵袭性血管黏液瘤与细胞性血管纤维瘤的放射学-病理学相关性：两例报告

Radiology-Pathology Correlation of Peri-Anal Aggressive Angiomyxoma and Cellular Angiofibroma: Two Case Reports.

作者信息

Siddiqui Zainab, Sayeed Iqbal Shaikh, Abdedzadeh Ayoub, Businge Paul, Al Ozaibi Labib, Al Bloushi Zainab

机构信息

Radiology, Rashid Hospital, Dubai, ARE.

General Surgery, Rashid Hospital, Dubai, ARE.

出版信息

Cureus. 2024 Sep 26;16(9):e70286. doi: 10.7759/cureus.70286. eCollection 2024 Sep.

DOI:10.7759/cureus.70286
PMID:39463662
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512681/
Abstract

Aggressive angiomyxoma and cellular angiofibroma are uncommon mesenchymal tumors. Imaging plays an important role in suggesting their diagnosis and in delineating the extent of the lesion. Additionally, histopathological examination provides the definite diagnosis. An understanding of their histological features and correlating that with the key imaging features on radiology helps in narrowing the differential diagnosis, and thereby aids in management and outcome. We herein present a case of both entities in patients presenting with history of a palpable peri-anal mass. We describe the radiological and histological features of aggressive angiomyxoma and cellular angiofibroma and highlight the similarities and differentiating factors between them.

摘要

侵袭性血管黏液瘤和细胞性血管纤维瘤是罕见的间叶组织肿瘤。影像学在提示其诊断及描绘病变范围方面发挥着重要作用。此外，组织病理学检查可提供明确诊断。了解它们的组织学特征并将其与放射学上的关键影像学特征相关联，有助于缩小鉴别诊断范围，从而辅助治疗及判断预后。我们在此报告一例有可触及肛周肿块病史患者同时患有这两种肿瘤的病例。我们描述了侵袭性血管黏液瘤和细胞性血管纤维瘤的放射学和组织学特征，并强调了它们之间的相似性和鉴别要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/5dfee56200e4/cureus-0016-00000070286-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/2d9b59d7db35/cureus-0016-00000070286-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/8ec0898c1822/cureus-0016-00000070286-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/c00324663329/cureus-0016-00000070286-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/fcd2640cc610/cureus-0016-00000070286-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/321f04608320/cureus-0016-00000070286-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/5cd26e8f67d7/cureus-0016-00000070286-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/5dfee56200e4/cureus-0016-00000070286-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/2d9b59d7db35/cureus-0016-00000070286-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/8ec0898c1822/cureus-0016-00000070286-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/c00324663329/cureus-0016-00000070286-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/fcd2640cc610/cureus-0016-00000070286-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/321f04608320/cureus-0016-00000070286-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/5cd26e8f67d7/cureus-0016-00000070286-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca77/11512681/5dfee56200e4/cureus-0016-00000070286-i07.jpg

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本文引用的文献

1
Aggressive Angiomyxoma, Angiomyofibroblastoma, and Cellular Angiofibroma of the Lower Female Genital Tract: Related Entities With Different Outcomes.女性下生殖道侵袭性血管黏液瘤、血管肌纤维母细胞瘤和细胞性血管纤维瘤：具有不同预后的相关实体。
Cureus. 2022 Sep 17;14(9):e29250. doi: 10.7759/cureus.29250. eCollection 2022 Sep.
2
Rare Mesenchymal Tumors of the Pelvis: Imaging and Pathologic Correlation.骨盆罕见间叶性肿瘤：影像学与病理学相关性。
Radiographics. 2022 Jan-Feb;42(1):143-158. doi: 10.1148/rg.210049. Epub 2021 Nov 19.
3
Perineal and pelvic aggressive angiomyxoma: Imaging finding in an uncommon case report.
会阴及盆腔侵袭性血管黏液瘤：罕见病例报告中的影像学表现
Radiol Case Rep. 2021 May 13;16(7):1822-1827. doi: 10.1016/j.radcr.2021.04.041. eCollection 2021 Jul.
4
A case of inguinal cellular angiofibroma.一例腹股沟细胞性血管纤维瘤。
IJU Case Rep. 2020 Feb 20;3(2):69-71. doi: 10.1002/iju5.12147. eCollection 2020 Mar.
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Cellular angiofibroma in women: a review of the literature.女性细胞性血管纤维瘤：文献综述
Diagn Pathol. 2015 Jul 19;10:114. doi: 10.1186/s13000-015-0361-6.
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Genital soft tissue tumors.生殖器软组织肿瘤
J Cutan Pathol. 2015 Jul;42(7):441-51. doi: 10.1111/cup.12507. Epub 2015 May 21.
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Aggressive angiomyxomas: a comprehensive imaging review with clinical and histopathologic correlation.侵袭性血管黏液瘤：全面的影像学综述，结合临床和组织病理学相关性。
AJR Am J Roentgenol. 2014 Jun;202(6):1171-8. doi: 10.2214/AJR.13.11668.
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Late recurrence of aggressive angiomyxoma of the vulva.外阴侵袭性血管黏液瘤的晚期复发。
J Low Genit Tract Dis. 2013 Jan;17(1):85-7. doi: 10.1097/LGT.0b013e3182545d2f.
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Aggressive angiomyxoma of vulva and vagina: a series of three cases and review of literature.外阴和阴道侵袭性血管黏液瘤：三例系列病例并文献复习。
Arch Gynecol Obstet. 2011 May;283(5):1145-8. doi: 10.1007/s00404-010-1575-1. Epub 2010 Jul 2.
10
Cellular angiofibroma with atypia or sarcomatous transformation: clinicopathologic analysis of 13 cases.具有不典型性或肉瘤样转化的细胞血管纤维瘤：13 例临床病理分析。
Am J Surg Pathol. 2010 May;34(5):707-14. doi: 10.1097/PAS.0b013e3181d74bdb.