盆腔复发性侵袭性血管黏液瘤1例报告并文献复习

Recurrent aggressive angiomyxoma of pelvic cavity: a case report and literature review

目的:探讨侵袭性血管黏液瘤的临床病理特点、诊断和鉴别诊断。方法:对1复发性例侵袭性血管黏液瘤进行光镜和免疫组织化学观察,并结合文献进行复习讨论。结果:免疫组织化学提示侵袭性血管黏液瘤肿瘤组织高表达波形蛋白、结蛋白和CD34,部分表达平滑肌动蛋白。结论:盆腔复发性侵袭性血管黏液瘤临床症状隐匿,手术不易彻底,术后易复发。根据其病理形态学特点结合免疫表型可正确诊断。

Objective： To explore the clinicopathological characteristics,the diagnosis and differential diagnosis of aggressive angiomyxoma（AAM）.Methods： One case with AAM of pelvic cavity was detected by light microscopy and immunohistochemistry,and the literatures about AAM were reviewed.Results： The high expressions of vimentin,desmin and CD34,and partial expression of SMA were detected by immunohistochemistry in tumor tissue of AAM.Conclusions： The clinical symptoms of AAM are concealed.It is difficult to achieve completely resection by surgery and postoperative recurrence is common.The correct diagnosis can be decided by its pathological characteristics and immunophenotype.