Angiomyolipoma of the fallopian tube

Katz, David A.; Thom, Douglas A.; Bogard, Patrick; Dermer, Mark S.

doi:10.1016/s0002-9378(84)80084-8

Cited by 29 publications

(18 citation statements)

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“…Angiomyolipoma (AML) is a relatively rare lesion that occurs most frequently in the kidney, followed by the liver, and rarely in other organs, including the uterus, 1 retroperitoneum, 2 mediastinum, 3 renal capsule, 4 nasopharyngeal cavity, 5 buccal mucosa, 6 hard palate, 7 penis, 8 vagina, 9 fallopian tube, 10 abdominal wall, 11 skin 12 and spinal cord 13 . AML is characteristically composed of three heterogeneous tissue components of blood vessels, smooth muscle cells (SMC) and fat cells.…”

Section: Introductionmentioning

confidence: 99%

Angiomyolipoma predominantly composed of smooth muscle cells: problems in histological diagnosis

1998

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Section: Introductionmentioning

confidence: 99%

Angiomyolipoma predominantly composed of smooth muscle cells: problems in histological diagnosis

1998

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“…This puzzling lesion, probably hamartomatous in nature, arises most commonly in one or both kidneys as a solitary or multicentric mass. Extrarenal sites of AML include the liver (2, 3), spleen (4), lymph node (5,6), spermatic cord (7), penis (8), vagina (9), uterus (10), fallopian tube (11), oral cavity (12), nasal cavity (13), lung (14), heart (15), colon (16), abdominal wall (17), retroperitoneum (18), mediastinum (19,20), epidurally in the spine (21,22), subgalea aponeurotica (23), and skin (1,(24)(25)(26). To the best of our knowledge only 11 cases of cutaneous AML have been described.…”

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confidence: 99%

Cutaneous angiomyolipoma

Val-Bernal

Mira

1996

J Cutan Pathol

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Extrarenal angiomyolipomas are rare lesions. An angiomyolipoma located on the right ear lobe in a 49-year-old man is reported. Pathologic examination showed a well-circumscribed subcutaneous nodule, 2 cm in diameter. The components of the tumor were confirmed by immunohistochemistry. Reactivity for HMB-45 was negative. A review of the twelve published cases, including the present, reveals that the patients age ranged from 33 to 77 years (mean 53.6), the male/female ratio was 11.1. The tumors were solitary, asymptomatic, noninvasive, located most commonly in acral skin or on the ear. The clinical impression is that of a cyst, a lipoma or a vascular tumor. Signs of tuberous sclerosis were absent in all cases. In contrast to the renal form, the cutaneous angiomyolipoma is a tumor differing in sex predominance, clinical associations, circumscription, solitariness, and HMB-45 immunoreactivity. Distinction from other mesenchymal lesions depends on recognition of traditional histologic criteria.

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“…On reviewing the literature extra renal angiomyolipoma occurring in the female genital tract has been reported in the uterus by Yaegashi H et al [3]. Ovary by Anderson AE et al [4], Vagina by Chen KT et al, and Peh SC et al [5,6], and fallopian tubes Katz DA et al [7]. Therefore total of six cases arising from the female genital tract has been reported in the English medical literature and the present case will the seventh case and the first to be reported from this country.…”

Section: Discussionmentioning

confidence: 99%

Acute Abdomen as an Unusual Presentation of Broad Ligament Angiomyolipoma. A Case Report and Review of Literature

Shakuntala

Shilpashree

Geethanjali

et al. 2012

Indian J Surg Oncol

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A 55 year old postmenopausal woman presented with complaints of sudden onset of right sided abdominal pain restricting her daily activities. Physical examination showed a large, smooth and tender immovable mass, extending from right lumbar region to the right anterior superior iliac spine and extending beyond the midline of the abdomen. On per speculum examination the cervix could not be visualised and to the extent vagina was seen, appeared normal. On per vaginal and rectal examination, cervix was pulled up. Uterus felt atrophic and retroverted, both the fornices were free. On the left in a plane above the adnexa, a firm mass could be tipped on downward displacement of the abdominal mass. On per rectal examination, rectal mucosa was free, bilateral parametrium were supple, pouch of Douglas was free and the same mass could be tipped with the middle finger. Complete haemogram and biochemical investigations were within normal limts.CA-125-was 8 IU/L. A CT scan of abdomen and pelvis was done with contrast. It showed a large retroperitoneal mixed attenuation mass 18.7×12.7×15.5 cms with density value of +20-30Hounsfeild units (Fig. 1).During surgery, minimal haemorrhagic ascites was seen in the peritoneal cavity. A well encapsulated retroperitoneal mass between the leaves of the broad ligament was completely resected, clamping its attachments to the parametrial and lateral pelvic wall and other soft tissues (Fig. 2). Frozen section was reported as lipomatous tumour. Total hysterectomy with bilateral salphingo-oophorectomy was then performed. PathologyGrossly the tumour was irregular, whitish yellowish, bosselated with surface vessels and measuring 30×23.5×25 cms. Cut section showed lobules of fatty tissue, white fibrous and myxoid areas (Fig. 3). Uterus and bilateral tubes and ovaries were normal grossly and histologically.Histology of the tumor consisted of interlacing bundles of spindle cells and foci of thick and thin walled blood vessels in a background of mature adipocytes suggestive of angiomyolipoma (Fig. 4). Interestingly immunohistochemistry with antihuman melanoma HMB-45 was negative.Post operative period was uneventful. Patient is on follow up for the last 13 months and does not have a recurrence clinically or sonographically. DiscussionThe incidence of renal and extra renal angiomyolipoma is 0.3-3 % [1] and that of angiomyolipoma occurring between the leaves of the broad ligament is very rare, only one case by Rajan and et al has been published [2]. Probably ours is the second case reported till date. Acute pain could be due to ischemia of the tumour mass or an impending rupture of the vessel. On reviewing the literature extra renal angiomyolipoma occurring in the female genital tract has been reported

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Angiomyolipoma of the fallopian tube

Cited by 29 publications

References 1 publication

Angiomyolipoma predominantly composed of smooth muscle cells: problems in histological diagnosis

Angiomyolipoma predominantly composed of smooth muscle cells: problems in histological diagnosis

Cutaneous angiomyolipoma

Acute Abdomen as an Unusual Presentation of Broad Ligament Angiomyolipoma. A Case Report and Review of Literature

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