PDF(Pubmed)
Abstract：
UNASSIGNED: Ovarian cavernous hemangioma is a rare benign vascular tumor primarily found as either an isolated ovarian mass or as diffuse abdominopelvic hemangiomatosis. Its discovery is often incidental, but symptomatic presentations can occur, including ovarian torsion, can occur without any specification.
METHODS: We present the case of a 55-year-old menopausal woman with chronic pelvic pain. Initial diagnostic imaging and tumor markers suggested ovarian malignancy. Subsequent investigations, including ultrasound and MRI, revealed a vascularized adnexal mass with characteristics mimicking malignancy. Surgical exploration through laparoscopy unveiled an 8 cm multicystic solid-cystic lesion with histopathological analysis confirming a 9 cm cavernous hemangioma.
UNASSIGNED: Histologically, the lesion displayed features consistent with a benign vascular malformation. Literature review indicates variability in presentations and diagnostic challenges in distinguishing these lesions from malignant ovarian tumors. Treatment involved successful cystectomy via laparoscopic surgery, ensuring ovarian preservation so as not to increase the cardiovascular risk due to bilateral annexectomy.
CONCLUSIONS: Ovarian cavernous hemangiomas pose diagnostic challenges due to their rarity and potential mimicry of malignancy. Timely recognition through imaging modalities, especially MRI, and confirmation via histopathological examination remain pivotal. Ovarian-sparing surgical interventions are recommended, particularly for younger patients without suspicious tumor features. Despite their rarity, awareness of these lesions is crucial for accurate diagnosis and appropriate management.
METHODS: We present the case of a 55-year-old menopausal woman with chronic pelvic pain. Initial diagnostic imaging and tumor markers suggested ovarian malignancy. Subsequent investigations, including ultrasound and MRI, revealed a vascularized adnexal mass with characteristics mimicking malignancy. Surgical exploration through laparoscopy unveiled an 8 cm multicystic solid-cystic lesion with histopathological analysis confirming a 9 cm cavernous hemangioma.
UNASSIGNED: Histologically, the lesion displayed features consistent with a benign vascular malformation. Literature review indicates variability in presentations and diagnostic challenges in distinguishing these lesions from malignant ovarian tumors. Treatment involved successful cystectomy via laparoscopic surgery, ensuring ovarian preservation so as not to increase the cardiovascular risk due to bilateral annexectomy.
CONCLUSIONS: Ovarian cavernous hemangiomas pose diagnostic challenges due to their rarity and potential mimicry of malignancy. Timely recognition through imaging modalities, especially MRI, and confirmation via histopathological examination remain pivotal. Ovarian-sparing surgical interventions are recommended, particularly for younger patients without suspicious tumor features. Despite their rarity, awareness of these lesions is crucial for accurate diagnosis and appropriate management.
摘要：
■卵巢海绵状血管瘤是一种罕见的良性血管瘤，主要表现为孤立的卵巢肿块或弥漫性腹盆腔血管瘤病。它的发现往往是偶然的，但是可能会出现症状，包括卵巢扭转,可以在没有任何规范的情况下发生。
方法：我们介绍了一名55岁的绝经女性患有慢性盆腔疼痛的病例。初步诊断影像学和肿瘤标志物提示卵巢恶性肿瘤。随后的调查，包括超声波和核磁共振,显示血管化附件肿块，具有模仿恶性肿瘤的特征。通过腹腔镜手术探查发现了一个8厘米的多囊性实囊性病变，组织病理学分析证实了一个9厘米的海绵状血管瘤。
■组织学，病变表现出与良性血管畸形一致的特征。文献综述表明，在区分这些病变与恶性卵巢肿瘤时，表现和诊断挑战存在差异。治疗包括通过腹腔镜手术成功的膀胱切除术，确保保留卵巢，以免因双侧切除而增加心血管风险。
结论：卵巢海绵状血管瘤由于其稀有性和潜在的恶性模仿而对诊断提出了挑战。通过成像方式及时识别，尤其是核磁共振,通过组织病理学检查确认仍然至关重要。建议保留卵巢的手术干预，特别是对于没有可疑肿瘤特征的年轻患者。尽管它们很少,对这些病变的认识对于准确诊断和适当管理至关重要.
方法：我们介绍了一名55岁的绝经女性患有慢性盆腔疼痛的病例。初步诊断影像学和肿瘤标志物提示卵巢恶性肿瘤。随后的调查，包括超声波和核磁共振,显示血管化附件肿块，具有模仿恶性肿瘤的特征。通过腹腔镜手术探查发现了一个8厘米的多囊性实囊性病变，组织病理学分析证实了一个9厘米的海绵状血管瘤。
■组织学，病变表现出与良性血管畸形一致的特征。文献综述表明，在区分这些病变与恶性卵巢肿瘤时，表现和诊断挑战存在差异。治疗包括通过腹腔镜手术成功的膀胱切除术，确保保留卵巢，以免因双侧切除而增加心血管风险。
结论：卵巢海绵状血管瘤由于其稀有性和潜在的恶性模仿而对诊断提出了挑战。通过成像方式及时识别，尤其是核磁共振,通过组织病理学检查确认仍然至关重要。建议保留卵巢的手术干预，特别是对于没有可疑肿瘤特征的年轻患者。尽管它们很少,对这些病变的认识对于准确诊断和适当管理至关重要.
