Fallopian Tube Hemangioma Discovered on Follow-up for Uterine Leiomyoma.

Autor: Sumtsov D; Sumy Regional Clinical Oncological Dispensary, Sumy, Ukraine., Sumtsov G; Sumy State University, Sumy, Ukraine., Hyriavenko N; Sumy State University, Sumy, Ukraine., Lyndin M; University of Duisburg-essen, Faculty of Medicine, Institute of Anatomy, Essen, Germany., Sikora K; Sumy State University, Sumy, Ukraine., Kolyshkin V; Privat Medical Center 'FLORIS', Sumy, Ukraine., Redko Y; Sumy State University, Sumy, Ukraine., Gladchuk I; Odessa National Medical University, Odessa, Ukraine.
Jazyk: angličtina
Zdroj: Medeniyet medical journal [Medeni Med J] 2024 Mar 21; Vol. 39 (1), pp. 62-65.
DOI: 10.4274/MMJ.galenos.2024.50687
Abstrakt: Hemangioma in female reproductive organs, particularly in the fallopian tube (FT), is a sporadic disease. In this report, we describe a case of hidden capillary hemangioma in FT in a 39-year-old woman who suffered from uterine leiomyoma. During the preoperative stage, pelvic sonography, computed tomography, and diagnostic laparoscopy revealed a subserous leiomyomatous nodule located along the posterior wall of the uterus. Despite this, intraoperatively, a benign vascular neoplasm was diagnosed. Histologically, it is characterized by multiple thin-walled vascular spaces lined with a single layer of endothelial cells, in which single mitoses were observed. The diagnosis was then confirmed immunohistochemically by CD31 and CD34 expression in the endothelial cells lining the inner surface of the spaces and the low mitotic activity of the tumor cells. It is virtually impossible to diagnose this asymptomatic neoplasm before and during surgery, which can result in an inadequate number of surgeries. Incorrect interpretation of a benign tumor at a young age can lead to unnecessary radical surgery with a resulting loss of fertility, and an unrevealed malignant process can threaten life.
Competing Interests: Conflict of Interest: The authors have no conflict of interest to declare.
(Copyright© 2024 The Author. Published by Galenos Publishing House on behalf of Istanbul Medeniyet University Faculty of Medicine.)
Databáze: MEDLINE