侵袭性血管黏液瘤
医学
间叶肿瘤
骨盆
间充质干细胞
病理
粘液瘤
病态的
放射科
解剖
免疫组织化学
作者
Xuemei Lin,Li Wang,Qiong Wang
出处
期刊:Medicine
[Ovid Technologies (Wolters Kluwer)]
日期:2022-11-18
卷期号:101 (46): e31617-e31617
被引量:1
标识
DOI:10.1097/md.0000000000031617
摘要
Aggressive angiomyxoma (AAM) is a rare mesenchymal tumor primarily involving the lower genital tract of reproductive females. It often shares pathologic morphology with other mesenchymal lesions, which result in diagnostic difficulties for pathologists.We described the case of a 32-year-old female presenting with a pelvic mass. Imaging examination showed a "swirling sign" within the mass. The mass was 10.2 × 10 × 7.7 cm, located in the right front of the uterus, with unclear demarcation from the surrounding organs and tissues. The gross appearance was grayish brown with a solid section and a myxedematous cut surface. Microscopically, it was a mesenchymal tumor with a presence of perivascular smooth muscle fibers radiating from the blood vessel and an infiltrative growth pattern. The pelvic AAM was diagnosed based on clinicopathologic and imaging features.A surgery with local excision of the mass was performed. The patient experienced 1 relapse during 2-year follow-up and underwent the radiation therapy.When the pathological morphology of AAM overlaps with other mesenchymal lesions, the comprehensive understanding of tumor clinicopathological characteristics combined with imaging features is important for the accurate diagnosis of AAM.
科研通智能强力驱动
Strongly Powered by AbleSci AI