Angioleiomyoma

血管平滑肌瘤
  • 文章类型: Case Reports
    血管平滑肌瘤,血管平滑肌的良性肿瘤,主要影响30-50岁的人,女性发病率较高。虽然它通常会影响下肢,它也可以在头部和颈部发展。然而,下咽血管平滑肌瘤极为罕见,世界文学中只有一个记录在案的案例。
    作者介绍了一个罕见的病例,一个70岁的男性,有声音改变和吞咽不适的症状。影像学检查提示下咽肿块。直接喉镜检查显示一个明确的肿块,起源于左咽侧壁,阻塞左牙和梨状窦。患者接受了前外侧咽切开术和肿块切除术。
    咽前外侧手术成功后,患者的症状明显改善。
    下咽血管平滑肌瘤由于其不寻常的位置而具有挑战性。它的稀有性强调了在评估下咽肿块时将其视为可能的差异的重要性。
    UNASSIGNED: Angioleiomyoma, a benign tumour of the smooth muscles of blood vessels, primarily affects individuals aged 30-50 years, with a higher incidence in females. While it commonly affects the lower extremities, it can also develop in the head and neck. However, hypopharyngeal angioleiomyomas are extremely rare, with only one documented case in world literature.
    UNASSIGNED: The authors present a rare case of a 70-year-old male with symptoms of voice change and deglutition discomfort. Imaging studies indicated a hypopharyngeal mass. Direct laryngoscopy showed a well-defined mass originating from the left lateral pharyngeal wall, obstructing the left vallecula and pyriform sinus. The patient underwent anterolateral pharyngotomy with mass excision.
    UNASSIGNED: After a successful anterolateral pharyngotomy, the patient experienced significant improvement in symptoms.
    UNASSIGNED: Diagnosing and managing hypopharyngeal angioleiomyoma is challenging due to its unusual location. Its rarity emphasizes the importance of considering it as a possible differential when evaluating hypopharyngeal masses.
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  • 文章类型: Journal Article
    小型哺乳动物是非常受欢迎的伴侣动物,这些动物中特定肿瘤类型的发生率是广泛研究的主题。我们对103只宠物兔的生殖道和乳腺肿瘤以及肿瘤样病变的发生率进行了回顾性和比较分析,75只宠物老鼠,71只豚鼠,12只老鼠,11只仓鼠,八只非洲侏儒刺猬,四个雪貂和两个龙猫.结果表明,子宫肿瘤和肿瘤样病变在宠物兔中很常见,豚鼠和非洲侏儒刺猬。在宠物兔子中,最常见的子宫肿瘤是子宫内膜腺癌,而在豚鼠中,良性病变占主导地位(即,平滑肌瘤,子宫内膜腺瘤,囊性子宫内膜增生和蜕膜瘤)。非洲侏儒刺猬的子宫肿瘤包括腺肉瘤和子宫内膜息肉。仅在豚鼠中发现卵巢病变(卵巢腺瘤,网状囊肿)和非洲侏儒刺猬(主要是颗粒细胞肿瘤),而睾丸肿瘤被诊断为宠物兔,一只宠物老鼠和一只豚鼠.乳腺肿瘤在宠物兔中很常见,宠物老鼠,豚鼠,老鼠,仓鼠和非洲侏儒刺猬。在宠物老鼠中,最常见的乳腺肿瘤是纤维腺瘤,而在其他动物中,癌症占主导地位。在豚鼠身上,在较小程度上,在宠物老鼠中,相当比例的乳腺肿瘤发生在男性。豚鼠似乎易患导管起源的乳腺肿瘤。这项研究首次描述了宠物兔的子宫血管平滑肌瘤和Djungarian仓鼠和龙鼠的乳腺梭形细胞癌。
    Small mammals are very popular companion animals, and the incidence of particular tumour types in these animals is the subject of extensive research. We carried out a retrospective and comparative analysis of the incidence of reproductive tract and mammary tumours and tumour-like lesions collected from 103 pet rabbits, 75 pet rats, 71 guinea pigs, 12 mice, 11 hamsters, eight African pygmy hedgehogs, four ferrets and two chinchillas. The results indicate that uterine tumours and tumour-like lesions are common in pet rabbits, guinea pigs and African pygmy hedgehogs. In pet rabbits, the most common uterine tumour was endometrial adenocarcinoma, while in guinea pigs benign lesions predominated (ie, leiomyoma, endometrial adenoma, cystic endometrial hyperplasia and deciduoma). Uterine tumours in African pygmy hedgehogs included adenosarcomas and endometrial polyps. Ovarian lesions were found only in guinea pigs (ovarian rete adenomas, rete cysts) and African pygmy hedgehogs (mostly granulosa cell tumours), while testicular tumours were diagnosed in pet rabbits, one pet rat and one guinea pig. Mammary tumours were common in pet rabbits, pet rats, guinea pigs, mice, hamsters and African pygmy hedgehogs. In pet rats, the most common mammary tumour was fibroadenoma, while in other animals carcinomas predominated. In guinea pigs and, to a lesser extent, in pet rats, a significant percentage of mammary tumours occurred in males. Guinea pigs seem to be predisposed to mammary tumours of ductal origin. This study describes for the first time uterine angioleiomyoma in the pet rabbit and mammary spindle cell carcinoma in the Djungarian hamster and chinchilla.
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  • 文章类型: Journal Article
    血管平滑肌瘤是一种罕见的间充质起源的良性肿瘤,起源于血管周围平滑肌细胞。这种软组织肿瘤通常发生在四肢的真皮或皮下组织,头部和颈部,或躯干,在子宫体中出现少于40例血管平滑肌瘤。在此,我们报告了一名44岁的G5P4西班牙裔女性的子宫血管平滑肌瘤,该女性有长期的复发性腹痛史,盆腔器官脱垂,异常子宫出血,贫血,和高血压。该患者接受了全腹腔镜子宫切除术,双侧输卵管切除术和子宫骶韧带悬吊术的手术治疗。根据总体和微观特征诊断子宫血管平滑肌瘤。子宫血管平滑肌瘤在子宫肌层内的位置与术前成像明显的对比增强相对应。这种和其他子宫血管平滑肌瘤具有特征性的影像学,宏观,以及区别于平滑肌瘤的微观特征。增强对这种未被认可的实体的认识将有助于精确诊断,从而能够更好地了解子宫血管平滑肌瘤的临床病理特征。
    Angioleiomyoma is an uncommon benign neoplasm of mesenchymal origin that arises from perivascular smooth muscle cells. This soft tissue neoplasm usually occurs in the dermal or subcutaneous tissues of the extremities, head and neck, or trunk with fewer than 40 reported angioleiomyomas arising in the uterine corpus. Herein we report a uterine angioleiomyoma in a 44-year-old G5P4 Hispanic woman with a longstanding history of recurrent abdominal pain, pelvic organ prolapse, abnormal uterine bleeding, anemia, and hypertension. The patient underwent surgical treatment with total laparoscopic hysterectomy with bilateral salpingectomy and a uterosacral ligament suspension. Uterine angioleiomyoma was diagnosed post-operatively based on gross and microscopic features. The location of the uterine angioleiomyoma within the myometrium corresponded with contrast enhancement apparent on preoperative imaging. This and other uterine angioleiomyomas have characteristic imaging, macroscopic, and microscopic features which distinguish it from leiomyoma. Enhancing awareness of this underrecognized entity will facilitate precise diagnosis and thereby enable improved understanding of the clinicopathological characteristics of uterine angioleiomyoma.
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  • 文章类型: Case Reports
    血管平滑肌瘤是罕见的良性肿瘤,它们起源于静脉中膜的平滑肌纤维。尽管血管平滑肌瘤可以出现在身体的任何地方,这些肿块很少发生在胃肠系统。这是第一例报道的肛周血管平滑肌瘤,用肛门内超声检查与肛管密切相关的肿瘤。这种病变的局部切除通常是治愈性的。
    Angioleiomyomas are rare benign tumors, which take origin from smooth muscle fibers of the tunica media of veins. Even though angioleiomyomas can appear anywhere in the body, these masses are rarely occurred in the gastrointestinal system. This is the first reported case of perianal angioleiomyomas, where the tumor in close relation with the anal canal was investigated with endoanal ultrasonography. Local excision of such lesion is generally curative.
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  • 文章类型: Journal Article
    血管平滑肌瘤(ALM)是一种以血管和平滑肌细胞为特征的良性肿瘤,通常位于皮下或深层真皮层内。它在翼腭窝的表现很少见,从而在其诊断和与同一解剖部位内的其他良性肿瘤区分方面存在困难。在本案例研究中,我们对一名44岁女性患者右侧翼腭窝的ALM进行了调查.患者接受了血管平滑肌瘤的手术干预,并且在术后监测期间没有发现复发。
    Angioleiomyoma (ALM) is a benign neoplasm marked by the presence of blood vessels and smooth muscle cells, commonly located within the subcutaneous or deep dermal layers. Its manifestation in the pterygopalatine fossa is infrequent, thereby posing difficulties in its diagnosis and distinction from other benign tumors within the same anatomical site. In the present case study, an ALM originating in the right pterygopalatine fossa of a 44-year-old female patient was investigated. The patient underwent surgical intervention for the vascular smooth muscle tumor, and there has been no recurrence noted during the postoperative monitoring period.
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  • 文章类型: Journal Article
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  • 文章类型: Case Reports
    血管平滑肌瘤是一种良性软组织肿瘤,很少在呼吸道发生。这里,我们报告了一例51岁的女性,其血管平滑肌瘤在左叶支气管分支发展并延伸到左主支气管,引起非特异性症状,胸部X光检查不可见。可疑诊断是通过高分辨率计算机断层扫描确定的,并通过内窥镜切除的病变的组织学评估得到证实。
    Angioleiomyoma is a benign soft-tissue tumor that rarely develops in the respiratory tract. Here, we report a case of a 51-year-old female with an angioleiomyoma developed in the left lobar bronchial branch and extended to the left principal bronchus, causing nonspecific symptoms, and not visible on the chest X-ray examination. The suspected diagnosis was established by high-resolution computed tomography and confirmed by the histological evaluation of the endoscopically removed lesion.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    教学要点:血管平滑肌瘤在MR上由外周T1-和T2-低信号边缘定义,邻近的曲折血管结构,和一个黑暗的网状迹象。
    Teaching point: Angioleiomyoma is defined on MR by a peripheral T1- and T2-hypointense rim, adjacent tortuous vascular structures, and a dark reticular sign.
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  • 文章类型: Case Reports
    背景:血管平滑肌瘤是一种罕见的良性间质瘤,通常见于皮下组织。它很少发生在胃肠道。在报告的案件中,最常见的并发症是消化道出血.在过去的几十年中,穿孔仅被报道为并发症。
    方法:该病例报告详细介绍了一名47岁男性的肠血管平滑肌瘤的发现,该男性表现为腹痛,持续3天。怀疑中空器官穿孔后,进行了涉及肠切除和吻合的手术干预。
    结论:该报告强调了早期手术干预在有效治疗血管平滑肌瘤中的重要性,同时强调了及时和适当措施对获得良好结果的关键作用。
    BACKGROUND: Angioleiomyoma is a rare and benign stromal tumor typically found in subcutaneous tissue. It rarely occurs in the gastrointestinal tract. Among the reported cases, the most common complication was gastrointestinal bleeding. Perforation has only been reported as a complication in the last few decades.
    METHODS: This case report detailed the discovery of intestinal angioleiomyoma in a 47-year-old male presenting with abdominal pain that had persisted for 3 d. After suspecting hollow organ perforation, surgical intervention involving intestinal resection and anastomosis was performed.
    CONCLUSIONS: The report underscores the significance of early surgical intervention in effectively treating angioleiomyoma while emphasizing the pivotal role of timely and appropriate measures for favorable outcomes.
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