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与妊娠相关的子宫血管平滑肌脂肪瘤。

Uterine angiomyolipoma associated with pregnancy.

作者信息

Laffargue F, Giacalone P L, Charpin C, Lachard A

机构信息

Department of Obstetrics and Gynecology, Hopital Arnaud de Villeneuve, Montpellier, France.

出版信息

Gynecol Oncol. 1993 Sep;50(3):357-60. doi: 10.1006/gyno.1993.1225.

Abstract

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.

摘要

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。

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