Giant angioleiomyoma of uterus: A case report with focus on CT imaging

Pierro, Antonio; Rotondi, Fabio; Cilla, Savino; Ninno, Maria De; Mattoni, Marilena; Berardi, Stefano; Ridolfini, Marco Pericoli; Sallustio, Giuseppina

doi:10.1016/j.radcr.2018.01.015

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…So far, typical imaging findings of angioleiomyoma are a well-defined single, unilocular mass or a single unilocular necrotic mass with an internal solid and laminated configuration. However, in view of the inability to differentiate it from other pathologies, such as leiomyosarcoma, endometrial stromal tumor or angiomyofibroblastoma, histological and immunohistochemical analysis are helpful in differentiating angioleiomyoma from other tumors ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

A Rare Angioleiomyoma of the Uterine Cervix: A Case Report with Peculiar MRI Findings

Hwang

Park

2022

J Korean Soc Radiol

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Angioleiomyoma (vascular leiomyoma) of the uterine cervix is an extremely rare type of benign tumor composed of smooth muscle cells and thick-walled blood vessels. Only a few cases of cervical angioleiomyoma have been reported. Here, we present imaging, including ultrasonography, contrast-enhanced CT, MRI, and histopathological findings of a 38-year-old female with an angioleiomyoma of the uterine cervix.

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Section: Discussionmentioning

confidence: 99%

A Rare Angioleiomyoma of the Uterine Cervix: A Case Report with Peculiar MRI Findings

Hwang

Park

2022

J Korean Soc Radiol

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“…En la mayoría de las ocasiones es indistinguible de un mioma típico con o sin degeneración 8,[10][11][12] . Pierro et al 13 sugieren que debe considerarse cuando, en una masa de tejido blando uterino bien delimitada, la tomografía computarizada muestra estructuras prominentes, tortuosas y con realce de tipo vascular, realce similar a arena e importante varicocele pélvico con evidente hipertrofia de las arterias uterinas. Estas características pueden orientar, pero no son patognomónicas ni estarán presentes en todos los casos, sobre todo si el mioma no es de gran tamaño.…”

Section: B Aunclassified

“…Ante síntomas persistentes está indicada la cirugía con exéresis completa de la tumoración, que se realizará mediante miomectomía sin márgenes que incluya la cápsula o mediante histerectomía simple. La elección depende de los síntomas de la paciente y de su deseo de preservar la fertilidad 2,11,13 . Durante la cirugía del caso presentado, la consistencia blanda del mioma hacía pensar que podría tratarse de un mioma degenerado o con cambios secundarios al tratamiento con acetato de ulipristal; el hecho de que de no tuviera un plano de clivaje definido con el miometrio, al igual que describen Sharma et al 4 , sugería la sospecha de un adenomioma.…”

Section: B Aunclassified

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Angioleiomioma uterino: a propósito de un caso

Pradillo¹,

Rodríguez²,

Ortiz³

et al. 2021

RECHOG

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El angioleiomioma es un tumor benigno perivascular que raramente se localiza en el útero. Se expone el caso de un angioleiomioma de gran tamaño en una mujer de 30 años con sangrado menstrual abundante y masa abdominal palpable. La paciente fue sometida a miomectomía y diagnosticada de angioleiomioma por el estudio histológico. Ante síntomas persistentes, la angiomiomectomía o la histerectomía simple son eficaces.

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“…Ancak Antonio Pierro ve arkadaşları, yaptıkları bir çalışmada 32×30×25 cm boyutunda uterin ALM olgusu tanımladılar ve bu tümörde kontrastlı bilgisayarlı tomografi (BT) taraması ile preoperatif tanının mümkün olabileceğini raporladılar. BT taramasında arteriyel ve venöz fazda multipl vasküler dallanmalar, geç fazda ise homojen olmayan "kum benzeri" görünümün var olduğu tümöral kitlede, uterin arterlerin belirgin hipertrofisi ile birlikte bilateral pelvik varikosel varlığında uterin ALM'nin akla gelmesi gerektiğini bildirdiler (22). ALM benign bir tümör olduğu için, tam eksizyon tedavinin temelidir.…”

Section: Resim 2 İntervasküler Düz Kas Demetlerinden Kolayca Ayırt Edilebilen Kalın Cidarlı Damar Kesitleri (Siyah Ok) Içeren Venöz Varyunclassified

Uterine angioleiomyoma: clinicopathological evaluation of 5 cases

Söğütçü

Oğlak

2020

Jinekoloji-Obstetrik Ve Neonatoloji Tıp Dergisi

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Aim: Uterine angioleiomyoma (ALM) is a very rare benign perivascular neoplasm. In this study, clinicopathologic and immunohistochemical features and treatment modalities of the cases were evaluated with a comprehensive literature review. Methods: 5 cases of uterine ALM admitted to the pathology department of our hospital were found in the pathology database. Hematoxylin-Eosin (HE) stained preparations of the cases were removed from the archive and reviewed. Immunohistochemical markers, namely muscle-specific actin, h-caldesmon, desmin, CD10, melan-A, HMB-45 and WT-1, were done. Results: The mean age of the patients was 40 years. Abnormal uterine bleeding and abdominal pain were the cause of admission in all patients. In one case (multiple ALM ), infertility was also present. A single tumour mass was observed in 4 cases, while multiple tumours focus (2 separate tumour focuses) were present in one case. The smallest tumour size was 5.2 cm, and the largest was 10 cm. The tumour was submucosal in one case and intramural in four cases. Macroscopically, all cases were sharp-edged, solid, white-grey, with a vortex nodular appearance. Two cases had solid and venous variants, one had venous and cavernous variants, one had venous variants, and one had all three variants. All cases were stained with desmin, h-caldesmon, smooth muscle actin; Staining with CD10, melan-A, HMB-45 and WT-1 was not observed. Conclusion: Uterine ALM is a rare, benign tumour and preoperative diagnosis is very difficult since there are no specific imaging findings. Therefore, it is crucial for the clinician and pathologist to remember this rare tumour and to distinguish it from similar ones.

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Giant angioleiomyoma of uterus: A case report with focus on CT imaging

Cited by 7 publications

References 9 publications

A Rare Angioleiomyoma of the Uterine Cervix: A Case Report with Peculiar MRI Findings

A Rare Angioleiomyoma of the Uterine Cervix: A Case Report with Peculiar MRI Findings

Angioleiomioma uterino: a propósito de un caso

Uterine angioleiomyoma: clinicopathological evaluation of 5 cases

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