全子宫切除术后阴道残端血管平滑肌瘤一例

Angiomyomas of Vaginal Stump after Total Hysterectomy:A Case Report

血管平滑肌瘤是一种罕见的间叶源性肿瘤,多发生于下肢,女性生殖系统少见,阴道残端血管平滑肌瘤更是十分罕见。报道1例兰州大学第二医院妇科收治的阴道残端平滑肌瘤患者,该患者2015年因子宫肌瘤于外院行腹腔镜全子宫切除术。现阴道间断出血约5个月,2023年5月入院行开腹手术治疗,术中发现肿物来自阴道残端,病理及免疫组织化学检查提示血管平滑肌瘤。结合该病例进行以子宫血管平滑肌瘤为主的女性生殖系统血管平滑肌瘤文献复习,旨在提高临床医生对女性生殖系统血管平滑肌瘤的认识与诊治水平。

Angioleiomyoma is a rare tumor of mesenchymal origin,mostly occurring in the lower extremities,rare in the female reproductive system,and vaginal stump angioleiomyoma is even more rare.This article reports a case of a patient with vaginal stump leiomyoma admitted to the Department of Gynecology of the Second Hospital of Lanzhou University.The patient underwent laparoscopic total hysterectomy in 2015 for uterine fibroids.She had vaginal bleeding for five months.In May 2023,she was admitted to the hospital for open surgery,during which it was found that the mass came from the vaginal stump.Pathology and immunohistochemistry suggested angioleiomyomas.Combined with this case,the literature review of female reproductive system angioleiomyoma mainly uterine angioleiomyoma was carried out to improve clinicians′understanding and diagnosis and treatment of vascular smooth muscle tumors of the female reproductive system.