A Rare Case report: Angioleiomyoma of Uterus
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Author:
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ALI 1,, FARANAK JALILVAND, ROGHAYYE MIRMAJIDI, MINA ATAEI, SANAZ HEYDARI HAVADARAGH
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Abstract:
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Background: Angioleiomyoma also named as vascular leiomyoma is an uncommon benign perivascular neoplasm that
contains abundant thick-walled vessels. Most frequently it is found in the subcutis of lower extremity since the head
and trunk are its less common sites. These tumors are extremely rare in uterus with only few case reports in
literature.
Case: This paper presents a case of uterine angioleiomyoma in a 36-year-old woman complaining of intermittent
abdominal pain, menorrhagia and difficulty in defecation. The patient underwent myomectomy and was diagnosed
with angioleiomyoma (AL) postoperatively, after histopathologic and IHC study.The tumor mass was composed of
interlacing fascicles of spindle cells swirling around abundant thick-walled vessels. IHC stain for SMA demonstrated
concentric reactivity surround vascular channels.
Summary and conclusion: Since imaging criteria are challenging for this disease histopathology is mainstay of the
diagnosis.This case is being reported for its rarity and challenges in its diagnosis.
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Keyword:
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uterine fibroids, angioleiomyoma, vascular leiomyoma, uterus, leiomyoma
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DOI:
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