Laffargue F, Giacalone P L, Charpin C, Lachard A
Department of Obstetrics and Gynecology, Hopital Arnaud de Villeneuve, Montpellier, France.
Gynecol Oncol. 1993 Sep;50(3):357-60. doi: 10.1006/gyno.1993.1225.
Uterine angiomyolipomas are rare lesions composed of mature adipose tissue, smooth muscle, fibrous connective tissue, and blood vessels in varying proportions. We reported the first case of angiomyolipoma associated with a normal pregnancy. Initially, the tumor developed intramurally and could have been confused with a partial molar gestation. After delivery, tumor development was extensive and subserosal, making differential diagnosis from a sarcoma difficult. The question of histological diagnosis, as well as that of immunocytochemical analysis which seems to be helpful in such cases, is discussed here.
子宫血管平滑肌脂肪瘤是一种罕见的病变,由比例各异的成熟脂肪组织、平滑肌、纤维结缔组织和血管组成。我们报告了首例与正常妊娠相关的血管平滑肌脂肪瘤病例。起初,肿瘤在肌壁内生长,可能被误诊为部分性葡萄胎妊娠。分娩后,肿瘤广泛发展至浆膜下,难以与肉瘤进行鉴别诊断。本文讨论了组织学诊断问题以及免疫细胞化学分析问题,后者在此类病例中似乎有所帮助。