A rare case report of cervical hemangioma and a comprehensive literature review of 137 cases of cervical and uterine hemangiomas.

Autor: Farahani M; Department of Gynecology and Obstetrics Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Hashemi SA; Department of Pathology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Goodarzi S; Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA., Hajikarimloo B; Medical School, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Pour-Ghazi F; Center for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran., Noori S; Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran., Alijani S; Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran., Khavandegar A; Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2024 Feb; Vol. 164 (2), pp. 421-435. Date of Electronic Publication: 2023 Jun 29.
DOI: 10.1002/ijgo.14961
Abstrakt: The cervix of the uterus is a rare site for cavernous hemangiomas. Cervical hemangiomas are slow-growing tumors with characteristic histological findings, including dilated vessels with increased endothelial cells. Although their pathophysiology remains unclear, hormones are believed to play an important role in the development of these vascular tumors. They may be asymptomatic due to their small size, but they can cause gynecological and obstetrical complications, including abnormal uterine bleeding and impaired fertility. Due to their small size, conservative treatment is the first line of management. Hysterectomy is considered for refractory cases or for patients who are not of childbearing age. In this study, firstly, we presented a case of a 60-year-old postmenopausal female without any gynecological-related signs or symptoms with a polypoid nodule hanging over the anterior cervical wall through its stalk. The surgical biopsy revealed no signs of neoplastic changes, with the only notable finding being a benign vascular lesion representing a cavernous hemangiomatous cervical polyp. The patient underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy and she is currently healthy without any further abnormal findings. Additionally, we provided a comprehensive review of 137 cases in the literature since 1883, detailing their characteristics, signs and symptoms, and pathology.
(© 2023 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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