伴结节性硬化的子宫血管平滑肌脂肪瘤:病例报道及文献回顾

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Background.Angiomyolipoma (AML )is a rare benign tu-mor that occurs most commonly in the k idney.Only a few cases have been described in the uterus.Case.We de-scribe a 32-yearoldwomanwith tuberous sclerosiswho pre-sentedwith irregular bleeding.Pre operatively,the lesions were confused with leiomyoma on ultr asound.At laparoto-my,multiple circumscribed subsero sal and intramuralpurplish lesions on the corpus uteri were noted leading to a diagnosis of uterine angiomyolipom a with the histological and immunohistochemical findings.Conclusion.In contrast to other reported uterine angiomyolipoma cases,HMB -45melanoma-specific antibody immunoreactivity is demon-strated in the present case.The histopathologic diagnosis as well as immunohistochemical analysis is discussed here with a review of the literature. Background.Angiomyolipoma (AML) is a rare benign tu-mor that occurs most commonly in the k idney. Of a few cases have been described in the uterus. Case. We de-scribe a 32-yearoldwoman with tuberous sclerosiswho pre-sentedwith irregular bleeding .Pre operatively, the lesions were confused with leiomyoma on ultr asound. Atal laparoto-my, multiple-poly subsection subsero sal and intramural purplish lesions on the corpus uteri were noted leading to a diagnosis of uterine angiomyolipom a with the histological and immunohistochemical findings. Conflusion. contrast to other reported uterine angiomyolipoma cases, HMB-45melanoma-specific antibody immunoreactivity is demon-strated in the present case. the histopathologic diagnosis as well as immunohistochemical analysis is discussed here with a review of the literature.
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