DOCSLIB.ORG

An Audit of the Clinicopathological Spectrum of Benign Vascular Tumors of Female Genital Tract; with a Mini Narrative Review

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
An Audit of the Clinicopathological Spectrum of Benign Vascular Tumors of Female Genital Tract; with a Mini Narrative Review Original Article An Audit of the Clinicopathological Spectrum of Benign Vascular Tumors of Female Genital Tract; with a Mini Narrative Review Shruthi S. Andola, Vatsala Kishore1, Kruthika S. Andola, Umadevi S. Andola, Sainath K. Andola1 Departments of Obstetrics and Gynecology and 1Pathology, M.R. Medical College, Kalaburagi, Karnataka, India ABSTRACT Background: Vascular tumors of the female genital tract (FGT) are very rare. The aim of this study was to analyze the spectrum of vascular tumors in FGT and to correlate their clinicopathological features. Materials and Methods: A retrospective study of 15years, including clinical features, imaging studies, gross and microscopic features of 24 cases of benign vascular tumors of FGT were reviewed. The age range was 20–95 years. Presenting complaints were abdominal pain/mass, postcoital bleeding, and vaginal and vulval mass. The duration of symptoms varied from 3months to 10years. A diagnosis of vascular tumor was not considered in any of these on clinical grounds. Results: The most common benign vascular tumor was hemangioma (7cases), followed by chorangioma (5cases). The most common sites of occurrence of these benign tumors were ovary and vulva (8cases each), the rarest site was cervix (1case). The clinical symptom of ovarian vascular tumors was abdominal pain and lump. Among the vascular tumors of ovary, the most common was lymphangioma (4cases) followed by hemangioma (3cases). The least common tumor was angiomyolipoma. The most common vulval tumors were hemangioma and lymphangioma circumscriptum. An unusual case of multiplicity and complexity was observed with 3 neoplasms, one malignant and two benign with additional caseating tuberculous lymphadenitis. Conclusion: Benign vascular tumors in the FGT can present with symptoms similar to gynecological tumors and epithelial malignancies leading to unwarranted radical surgery. The pathological examination is necessary in all such cases to exclude the possibility of malignancy. Angiomyofibroblastoma and aggressive angiomyxoma of the vulva are very rare and both share similar clinical and histopathologic features causing diagnostic problems. KEY WORDS: Angimyolipoma, angiomyofibroblastoma, female genital tract, hemangioma, lymphangioma cisrcumscriptum, vascular tumors INTRODUCTION diagnosis of 24 cases of benign vascular tumors of the FGT observed over a period of 15 years. The ovary itself is a highly vascularized organ but vascular tumors of female genital tract (FGT), especially those arising in the ovary, are very rare.[1] The majority of vascular MATERIALS AND METHODS tumors are incidental findings due to their small size All the cases diagnosed as vascular tumor of the FGT in the and asymptomatic nature. However, some cases present Department of Obstetrics and Gynaecology and Pathology clinically with features simulating other more common during a period of 15 years from 2000 to 2015, were gynecological tumors, even on radiological investigations retrieved from the files. like ultrasonography.[2] Most of the reports in the literature are short series of these neoplasms confined to one organ Address for correspondence of FGT.[2] Dr. Sainath K. Andola, Department of Pathology, M.R. Medical College, Kalaburagi - 585 105, Karnataka, India. This study describes the clinical profile, histopathological E-mail: [email protected] features, immunohistochemical findings, and differential This is an open access article distributed under the terms of the Creative Commons Access this article online Attribution‑NonCommercial‑ShareAlike 3.0 License, which allows others to remix, tweak, Quick Response Code and build upon the work non‑commercially, as long as the author is credited and the Website: new creations are licensed under the identical terms. www.jbcrs.org For reprints contact: [email protected] How to cite this article: *** DOI: *** © 2016 Journal of Basic and Clinical Reproductive Sciences | Published by Wolters Kluwer - Medknow 33 Andola, et al.: Benign vascular tumors of female genital tract The clinical features, imaging studies, laboratory The hemangiomas showed enlarged ovaries with a investigations, and gross findings were analyzed. honeycomb appearance. Histologically dilated vascular Histopathology slides were reviewed for morphological spaces containing blood were noted [Figure 2]. features, and special stains were done. A single case of AML was diagnosed. Cut section showed Immunohistochemistry was done in a case diagnosed as yellowish gray gelatinous appearance and histologically deep aggressive angiomyxoma (AAM). admixture of smooth muscle, fat, and vascular spaces seen [Figure 3 and Table 3]. RESULTS Of 8 vulval tumors, most frequent were lymphangioma circumscriptum (LC), hemangiomas, and superficial Maximum cases were hemangiomas (29.16%) [Table 1]. angiomyxoma (SAM) (2 cases each) followed by single cases of deep AAM and angiomyofibroblastoma (AMFB). The age ranged from 20 to 95 years with mean age of 43.4 years. Ovary and vulva were most frequently Both cases of LC presented as edematous, multiple, grouped involved (33.33%) [Table 2]. vesicles on mons pubis and labia majus. Microscopy revealed hyperkeratotic, hyperplastic squamous epithelium with Of 8 cases in the ovary, 4 were lymphangiomas, 3 were multiple fluid filled spaces lined by flat endothelial cells in hemangiomas, and a case of angiomyolipoma (AML) noted. superficial and deep dermis [Figure 4]. These cases presented with nonspecific symptoms which Both cases of SAM were pedunculated skin covered masses ranged from abdominal masses and/pain, postcoital bleeding, of 5 and 4 cm diameter, respectively, with the clinical and vulval or vaginal masses. A diagnosis of the vascular tumor diagnosis of condyloma. Microscopy revealed hypocellular was not considered in any of these cases on the clinical grounds. myxomatous tumor composed of spindle fibroblastic cells and numerous large caliber vessels having thickened The lymphangioma of ovary showed multiple cystic spaces endothelial lining [Figure 5a and b]. on cut surface. Microscopy revealed several cystic spaces lined by bland endothelial cells and lumen showed lymph fluid [Figure 1]. Table 1: Histological spectrum of benign vascular tumors Number Percentage Hemangioma 7 29.16 Lymphangioma 4 16.66 Angiomyolipoma 1 4.16 Superficial angiomyxoma 2 8.33 Deep aggressive angiomyxoma 2 8.33 Angiomyofibroblastoma 1 4.16 Lymphangioma circumscriptum 2 8.33 Figure 1: Gross specimen of ovary showing multiple cystic spaces, Chorangioma of placenta 5 20.83 microscopy-several cystic spaces lined by bland endothelial cells Total 24 100.00 containing lymph (H and E, ×200) Table 2: Anatomic and age distribution and surgical procedure of benign vascular tumors Anatomic site Histopathological diagnosis Surgical procedure Number of cases and age (years) Percentage Ovary n=8 (33.33%) Left Hemangioma Total abdominal hysterectomy with 2 (35, 38) 8.33 Lymphangioma bilateral salpinogo-oopherectomy 2 (45, 56) 8.33 Angiomyolipoma 1 (22) 4.16 Right Lymphangioma 1 (35) 4.16 Bilateral Hemangioma 1 (55) 4.16 Lymphangioma 1 (46) 4.16 Cervix (n=1) Hemangioma Polypectomy 1 (40) 4.16 Vagina (n=2, 8.33%) Hemangioma Excision of mass 1 (95) 4.16 Deep aggressive angiomyxoma 1 (35) 4.16 Vulva (n=8, 33.33%) Hemangioma 2 (46, 71) 8.33 Lymphangioma circumscriptum 2 (50, 56) 8.33 Superficial angiomyxoma 2 (40, 70) 8.33 Deep aggressive angiomyxoma 1 (50) 4.16 Angiomyofibroblastoma 1 (35) 4.16 Placenta (n=5, 20.83%) Chorangioma Placenta with the mass removed 5 (20-28) 20.83 Total number of cases 24 100.00 34 Journal of Basic and Clinical Reproductive Sciences · January - June 2016 · Vol 5 · Issue 1 Andola, et al.: Benign vascular tumors of female genital tract The deep AAM of vulva was clinically diagnosed as Bartholin’s In five cases, placenta was submitted after the delivery cyst and excised. Grossly, soft gelatinous reddish-brown of baby. Placentas contained tumors ranging in size from areas and microscopically, the lesions were moderately 0.5 to 23 cm and placenta weighing from 400 to 800 g. cellular with predominant stellate cells and few spindle cells Cut section showed large nodular lesions and dark brown in an abundant myxomatous stroma. The stromal cells were appearance. Microscopically the lesion composed of bland, oval, and showed no atypia. Plenty of pigmented numerous thin-walled fetal vessels of capillary or sinusoidal macrophages were present. IHC with CD 34 was positive, confirming the diagnosis [Figure 5c and d]. Table 3: Clinical presentation of vulval tumors Complaint Local examination Histopathological diagnosis One patient had mass in labia for last 10 years and Labia majora Clinical impression-Bartholin’s Angiomyofibroblastoma was clinically diagnosed as Bartholin’s cyst. Grossly, growth since cyst 10 years well-circumscribed and soft to rubbery in consistency Vulval swelling Vulval mass-Bartholin’s cyst Deep aggressive angiomyxoma with cut section showing grayish-white homogenous Vulval growth Many small warty lesions Lymphangioma circumscriptum Vulval growth Warty lesion of 1.5 cm×1 cm Lymphangioma circumscriptum appearance. Microscopy revealed tumor consisting of Vulval growth Dark brown pedunculated Cavernous hemangioma hypo- and hyper- cellular areas with numerous delicate mass of 4.5 cm×3 cm, clinical impression-melanoma capillary sized blood vessels lined by endothelial cells. Vulval growth Reddish brown fleshy mass of Hemangioma The stromal cells were plump to spindle with moderate 2.5 cm×2.2 cm cytoplasm and round to
Load more

Recommended publications
  • CD133 Expression in Placenta Chorioangioma Presenting As a Giant Asymptomatic Mass
    medicina Case Report CD133 Expression in Placenta Chorioangioma Presenting as a Giant Asymptomatic Mass Gianluca Di Massa 1,†, Guglielmo Stabile 2,† , Federico Romano 2 , Andrea Balduit 3 , Alessandro Mangogna 2,* , Beatrice Belmonte 4 , Pina Canu 1, Emma Bertucci 5, Giuseppe Ricci 2,6,‡ and Tiziana Salviato 1,‡ 1 Department of Diagnostic, Clinic and Public Health Medicine, University of Modena and Reggio Emilia, 41125 Modena, Italy; [email protected] (G.D.M.); [email protected] (P.C.); [email protected] (T.S.) 2 Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Via dell’Istria, 65/1, 34137 Trieste, Italy; [email protected] (G.S.); [email protected] (F.R.); [email protected] (G.R.) 3 Department of Life Sciences, University of Trieste, 34127 Trieste, Italy; [email protected] 4 Tumor Immunology Unit, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90134 Palermo, Italy; [email protected] 5 Prenatal Medicine Unit, Obstetrics and Gynecology Unit, Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, 41125 Modena, Italy; [email protected] 6 Department of Medical, Surgical and Health Science, University of Trieste, 34129 Trieste, Italy * Correspondence: [email protected]; Tel.: +39-320-612-3370 † These authors contributed equally to this article. Citation: Di Massa, G.; Stabile, G.; ‡ These authors contributed equally to this article. Romano, F.; Balduit, A.; Mangogna, A.; Belmonte, B.; Canu, P.; Abstract: Background: Placental chorioangioma is the most common benign non-trophoblastic neo- Bertucci, E.; Ricci, G.; Salviato, T.
    [Show full text]
  • Placenta 111 (2021) 33–46
    Placenta 111 (2021) 33–46 Contents lists available at ScienceDirect Placenta journal homepage: www.elsevier.com/locate/placenta Review Placental pathology in cancer during pregnancy and after cancer treatment exposure Vera E.R.A. Wolters a, Christine A.R. Lok a, Sanne J. Gordijn b, Erica A. Wilthagen c, Neil J. Sebire d, T. Yee Khong e, J. Patrick van der Voorn f, Fred´ ´eric Amant a,g,* a Department of Gynecologic Oncology and Center for Gynecologic Oncology Amsterdam (CGOA), Netherlands Cancer Institute - Antoni van Leeuwenhoek and University Medical Centers Amsterdam, Plesmanlaan 121, 1066, CX Amsterdam, the Netherlands b Department of Gynaecology and Obstetrics, University of Groningen, University Medical Center Groningen, CB 20 Hanzeplein 1, 9713, GZ Groningen, the Netherlands c Scientific Information Service, Netherlands Cancer Institute - Antoni van Leeuwenhoek, Plesmanlaan 121, 1066, CX Amsterdam, the Netherlands d Department of Paediatric Pathology, NIHR Great Ormond Street Hospital BRC, London, WC1N 3JH, United Kingdom e SA Pathology, Women’s and Children’s Hospital, 72 King William Road, North Adelaide, SA5006, Australia f Department of Pathology, University Medical Centers Amsterdam, Location VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands g Department of Oncology, KU Leuven, Herestraat 49, 3000, Leuven, Belgium ARTICLE INFO ABSTRACT Keywords: Cancer during pregnancy has been associated with (pathologically) small for gestational age offspring, especially Placenta after exposure to chemotherapy in utero. These infants are most likely growth restricted, but sonographic results Cancer are often lacking. In view of the paucity of data on underlying pathophysiological mechanisms, the objective was Pregnancy to summarize all studies investigating placental pathology related to cancer(treatment).
    [Show full text]
  • California Tumor Tissue Registry
    " CALIFORNIA TUMOR TISSUE REGISTRY California Tumor Tissue Registry c/o: Departme.nt of Pathology and Human Anatomy Lorna Linda University Sebool of Medicine 11021 Campus Avenue, AH 335 Lorna Linda, California 92350 (909) 824-4788 FAX: (909) 478-4188 CON"ntiDUTOR: WllllanoTalbert, M.D. CASE NO. 1 ·NOVEMBER 1995 Long Beach, CA TISSUE FROM: Sple<on ACCESSION #27748 CLINICAL ABSTRACT: This 77-year-old maJe. bad a 1-1!2 year history of a myelodysplastic syndrome, Ilea ted with blood transfusions for anemia. G.I. bleeding with tany stools and a hemoglobin of 5.21<d to admission about two weeks prior to his death. He became febrile. Blood and urine cullures were sterile. Renal failure developed. He became obtunded and died. He did not have a leukenlic peripheral blood picture. GROSS PATHO LOGV: Autopsy revealed a 1750 gram spleen with a splenic ''abscess•• which was partially ruptured and contained by surrounding tissue. CONTRIDUTOR: William Talbert, M.D. CASE NO. 2 • NOVE~ffiER 1995 Long Beach, CA TISSUE FROM: Lung ACCESSION 1127760 CLINl CAL ABSTRACT: This 23-year-old Asian female bad hemoptysis for two years. Chest film revealed a 1.0 em mass which grew to 4 em under observation. Iron deficiency anemia was diagnosed preoperatively, with a hemoglobin of 10.7 grams. Needle biopsy of the mass revealed tissue with the same diagnosis as that made on the resected specimen. A right upper lobe lobectomy was performed . GROSS PATROLOGV: The 120 gram lung was 12 x 7 x 3.5 em. A 3.5 em well-cireuonscribed nodule was near the bronchial margin.
    [Show full text]
  • Gynecologic and Obstetric Pathology (1127-1316)
    VOLUME 31 | SUPPLEMENT 2 | MARCH 2018 MODERN PATHOLOGY 2018 ABSTRACTS GYNECOLOGIC AND OBSTETRIC PATHOLOGY (1127-1316) 107TH ANNUAL MEETING GEARED TO LEARN Vancouver Convention Centre MARCH 17-23, 2018 Vancouver, BC, Canada PLATFORM & 2018 ABSTRACTS POSTER PRESENTATIONS EDUCATION COMMITTEE Jason L. Hornick, Chair Amy Chadburn Rhonda Yantiss, Chair, Abstract Review Board Ashley M. Cimino-Mathews and Assignment Committee James R. Cook Laura W. Lamps, Chair, CME Subcommittee Carol F. Farver Steven D. Billings, Chair, Interactive Microscopy Meera R. Hameed Shree G. Sharma, Chair, Informatics Subcommittee Michelle S. Hirsch Raja R. Seethala, Short Course Coordinator Anna Marie Mulligan Ilan Weinreb, Chair, Subcommittee for Rish Pai Unique Live Course Offerings Vinita Parkash David B. Kaminsky, Executive Vice President Anil Parwani (Ex-Officio) Deepa Patil Aleodor (Doru) Andea Lakshmi Priya Kunju Zubair Baloch John D. Reith Olca Basturk Raja R. Seethala Gregory R. Bean, Pathologist-in-Training Kwun Wah Wen, Pathologist-in-Training Daniel J. Brat ABSTRACT REVIEW BOARD Narasimhan Agaram Mamta Gupta David Meredith Souzan Sanati Christina Arnold Omar Habeeb Dylan Miller Sandro Santagata Dan Berney Marc Halushka Roberto Miranda Anjali Saqi Ritu Bhalla Krisztina Hanley Elizabeth Morgan Frank Schneider Parul Bhargava Douglas Hartman Juan-Miguel Mosquera Michael Seidman Justin Bishop Yael Heher Atis Muehlenbachs Shree Sharma Jennifer Black Walter Henricks Raouf Nakhleh Jeanne Shen Thomas Brenn John Higgins Ericka Olgaard Steven Shen Fadi Brimo Jason
    [Show full text]
  • Department of Obstetrics, Gynecology, and Reproductive Sciences
    University of Pittsburgh School of Medicine DEPARTMENT OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE SCIENCES ANNUAL REPORT – ACADEMIC YEAR 2019 Tatomir, Shannon DEPARTMENT OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE SCIENCES UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE ANNUAL REPORT Academic Year 2019 July 1, 2018 – June 30, 2019 300 Halket Street Pittsburgh, PA 15213 412.641.4212 1 TABLE OF CONTENTS YEAR IN REVIEW MISSION STATEMENT ..................................................................................................................... 3 CHAIR’S ADDRESS ........................................................................................................................... 4 RECRUITMENTS ............................................................................................................................... 6 DEPARTURES ................................................................................................................................... 7 DEPARTMENT PROFESSIONAL MEMBERS ………………………………………………………………………………...8 DIVISION SUMMARIES OF RESEARCH, TEACHING AND CLINICAL PROGRAMS DIVISION OF GYNECOLOGIC SPECIALTIES .................................................................................... 11 DIVISION OF GYNECOLOGIC ONCOLOGY ..................................................................................... 24 DIVISION OF MATERNAL FETAL MEDICINE .................................................................................. 34 DIVISION OF REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY ...........................................
    [Show full text]
  • Copyrighted Material
    JWBK208-IND-II August 12, 2008 16:22 Char Count= 0 Index of General Terms 395 Index of General Terms 3D clusters (in cytology) polymorphous low grade 131 adiposis dolorosa 281 mesothelial 360 prostatic 220, 222, 224 adnexal tumours 292–4 urine 365 adenoid adrenal medullary chromaffin adenocarcinoma 361 basal carcinoma 234 paraganglioma 276 ␣1-antitrypsin 157 basal epithelioma 234 adrenal pathology 53–4, 275–7, 383 acantholytic squamous cell carcinoma cystic carcinoma 131, 369 adrenocortical adenoma 275–6 285 pharyngeal tonsil 38 adrenocortical carcinoma (ACC) acanthoma 282, 283, 292 adenoma 130–1, 200 275–6 accessory auricles 199 adrenocortical 275–6 adrenocorticotrophic hormone acetic acid artefact 357 basal cell 130–1, 223 (ACTH) 275, 278 achalasia of the cardia 135 bile duct 172 adult achondroplasia 330 bronchioalveolar 91 granulosa cell tumour 249 acinar cell carcinoma/dysplasia 177 Brunner’s gland 142 large bile duct obstruction 164 acinar zones (of liver) 156 canalicular 131 renal tumours 49 acinic cell carcinoma 132, 369 duct 264 respiratory distress syndrome 383 acquired immunodeficiency dysplasia 149–50 T-cell leukaemia 115–16 syndrome (AIDS, see also HIV) flat 149–50 advanced practitioners 359 165, 306–7, 346–7, 364 follicular 268–9 adventitious bursa 342 acral naevus 288 gastric 138 AFP 19 acrodermatitis enteropathica 304 hepatocellular 169–70 age-related changes 68, 75, 196–7, ACTH 275, 278 hyalinising trabecular 271 201 actinic malignum 235 age-related macular degeneration keratosis 283 metanephric 216 (AMD) 196–7 lentigo 288–9
    [Show full text]
  • Pediatric Pathology Major Category Code Headings 1 Perinatal
    updated 8/20/2021 Pediatric Pathology Page 1 of 25 Pediatric Pathology Major Category Code Headings Revised 8/17/2021 1 Perinatal Pathology: Placental-maternal-fetal relationships in pregnancy 70000 2 Perinatal Pathology: Fetal/Neonatal pathophysiology 70445 3 General Pathologic Principles and Syndromes, NOS 70645 4 Cardiovascular System, NOS 70815 5 Respiratory System and Mediastinum, NOS 71050 6 Central Nervous System, NOS 71255 7 Skin, NOS 71455 8 Special Senses – Eye and Ear 71680 9 Alimentary Tract, NOS 71800 10 Hepatobiliary System and Pancreas, NOS 72225 11 Kidney and Urinary System, NOS 72585 12 Endocrine system, excluding ovary and testis, NOS 72825 Hematopoietic system, including bone marrow, lymph nodes, thymus, spleen 13 and other lymphoid tissues 72945 14 Breast, NOS 73220 15 Female reproductive system, NOS 73275 16 Disorders of sexual development (Intersex disorders), NOS 73445 17 Male reproductive system, NOS 73530 18 Soft tissue, peripheral nerve and muscle, NOS 73690 19 Skeletal system, NOS 74005 20 Diagnostic/Technical Procedures, Laboratory Management 74120 21 Admin. & Management, LIS, QA, Lab Planning, Regulations & Safety 74775 22 Forensic Pathology, NOS 74850 Pediatric Pathology Page 2 of 25 Pediatric Pathology 1 Perinatal Pathology: Placental-maternal-fetal relationships in pregnancy 70000 A Conception 70005 1 Gametogenesis 70010 2 Fertilization 70015 3 Implantation 70020 B Normal embryonic and fetal development, NOS 70025 1 Embryologic processes 70030 2 Normal histology of fetal organs 70035 C Pregnancy physiology
    [Show full text]
  • UNIVERSITY of PITTSBURGH SCHOOL of MEDICINE Department of Obstetrics, Gynecology and Reproductive Sciences ANNUAL REPORT – ACADEMIC YEAR 2020
    UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE Department of Obstetrics, Gynecology and Reproductive Sciences ANNUAL REPORT – ACADEMIC YEAR 2020 DEPARTMENT OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE SCIENCES UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE ANNUAL REPORT Academic Year 2020 July 1, 2019 – June 30, 2020 300 Halket Street Pittsburgh, PA 15213 412.641.4212 YEAR IN REVIEW MISSION STATEMENT ................................................................................................................. 2 CHAIR’S ADDRESS ....................................................................................................................... 3 RECRUITMENTS .......................................................................................................................... 5 DEPARTURES .............................................................................................................................. 6 DEPARTMENT PROFESSIONAL MEMBERS ………………………………………………………………………………...7 DIVISION SUMMARIES OF RESEARCH, TEACHING AND CLINICAL PROGRAMS DIVISION OF GYNECOLOGIC SPECIALTIES ................................................................................. 10 DIVISION OF GYNECOLOGIC ONCOLOGY .................................................................................. 28 DIVISION OF MATERNAL FETAL MEDICINE ............................................................................... 40 DIVISION OF ULTRASOUND………………………………………………………………………………………………………56 DIVISION OF REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY ..........................................
    [Show full text]
  • Smooth Muscle Tumor of the Placenta
    Open Access Case report Smooth muscle tumor of the placenta - an entrapped maternal leiomyoma: a case report Katja Murtoniemi1, Elina Pirinen2, Marketta Kähkönen3, Nonna Heiskanen4* and Seppo Heinonen4 Addresses: 1Department of Obstetrics and Gynecology, Turku University Hospital, P.O.B. 52, FIN-20521 Turku, Finland, 2Department of Pathology, Kuopio University Hospital, P.O.B. 1777, FIN-70211 Kuopio, Finland, 3Laboratory of Clinical Genetics, Centre for Laboratory Medicine, Tampere University Hospital, P.O.B. 2000, FIN-33521 Tampere, Finland and 4Department of Obstetrics and Gynecology, Kuopio University Hospital, P.O.B. 1777, FIN-70211 Kuopio, Finland Email: KM - katja.murtoniemi@)fimnet.fi; EP - [email protected]; MK - [email protected]; NH* - [email protected]; SH - [email protected] * Corresponding author Received: 13 May 2008 Accepted: 23 January 2009 Published: 17 June 2009 Journal of Medical Case Reports 2009, 3:7302 doi: 10.4076/1752-1947-3-7302 This article is available from: http://jmedicalcasereports.com/jmedicalcasereports/article/view/7302 © 2009 Murtoniemi et al; licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Introduction: Neoplasms of the placenta are uncommon. Tumors arising from the placental tissue include two distinct histological types: the benign vascular tumor, chorangioma, and very rarely, choriocarcinoma. Benign leiomyomas, in contrast, are very common tumors of the uterine wall and occur in 0.1% to 12.5% of all pregnant women.
    [Show full text]
  • Case Report Chorangiocarcinoma in a Term Placenta with Postpartum Pulmonary Metastasis: a Case Report and Review of the Literature
    Int J Clin Exp Pathol 2016;9(7):7645-7651 www.ijcep.com /ISSN:1936-2625/IJCEP0031554 Case Report Chorangiocarcinoma in a term placenta with postpartum pulmonary metastasis: a case report and review of the literature Jun Liu, Weihua Yin, Xianglan Jin Department of Pathology, Peking University Shenzhen Hospital, Peking University, 1120 Lian Hua Road, Futian District, Shenzhen 518036, Guangdong Province, P R China Received May 1, 2016; Accepted May 19, 2016; Epub July 1, 2016; Published July 15, 2016 Abstract: Chorangiocarcinoma is an extremely rare primary placental neoplasm, with only five cases reported in the literature (Table 1). Some researchers considered it as a bona fide chorangiocarcinoma, but most cases described a chorangioma with abnormal trophoblastic proliferation. In spite of atypia in cytology, marked mitosis and tumor necrosis, chorangiocarcinoma was always reported benign. No metastasis or invasion has been described yet. Here, we report the first case of chorangiocarcinoma with postpartum pulmonary metastasis, combined with markedly elevated maternal βhCG level. Microscopically, the tumor is characterized by large caliber stem villus-like structures, composed of chorangioma in the stroma and surrounding malignant trophoblasts. These neoplastic trophoblasts are pleomorphic and represents striking necrosis, increased mitotic figures and high Ki-67 labeling index. Immunos- taining shows these neoplastic trophoblasts are cytotrophoblasts and few intermediate trophoblasts. Overall, cho- rangiocarcinoma may be a chorangioma with variable trophoblastic proliferation, consisting of atypical trophoblastic hyperplasia, carcinoma in situ or even metastatic carcinoma. Keywords: Chorangiocarcinoma, metastasis, chorangioma, choriocarcinoma, trophoblastic lesions Introduction maternal surface is intact. Cut surface shows a yellow-gray nodule located 3 cm away from the In this article we present the first case of cho- base of the umbilical cord.
    [Show full text]
  • The Pathology Reproductive
    Teaching Monograph The Pathology of the Female Reproductive Tract John M. Craig, MD Boston Hospital for Women Harvard Medical School Boston, Massachusetts Copyright 0 1979, Universities Associated for Research and Education in Pathology, Inc. All rights reserved The American Journal of Pathology Official publication of The American Association of Pathologists Published by The American Association of Pathologists, 9650 Rockville Pike, Bethesda, Maryland The Patholo of the Female Reproductive Tract Vulva 385(1 Cervix 391(7) Endometnum 400 16) Myoumeium 408(24 Fallpian Tubes 411(274) Ovay 415I31) The Patholo of Pregnancy 429(45) Malf ains of the Placenta 430(46) Circulating Disorders of the Plcenta *32(48) Infecims of the Plaxcet 43:3 49) Placental Pathology Associated With Maternal Disease 434 50) Tumors of the Placenta 4:35(51) Foreword to Teaching Monographs This teaching monograph is being published by The American Journal of Pathol- ogy for Universities Associated for Research and Education in Pathology as a service to medical students and their teachers of pathology. This venture repre- sents a joint effort to make such teaching material available to a wide audience. Separately bound copies of this Teaching Monograph can be purchased from Universities Associated for Research and Education in Pathology, Inc., 9650 Rockville Pike, Bethesda, MD 20014. The charge is $2.25 per copy for orders of up to ten and $1.25 per copy for orders of ten or more (prepaid). The Editorial Board John R. Carter, MD, Case Western Reserve University School of Medicine Francis E. Cuppage, MD, University of Kansas Medical Center Joe W. Grisham, MD, The University of North Carolina School of Medicine Robert B.
    [Show full text]
  • Abortion, 785-789 Gross Examination of Tissue From, 885-888 Habitual
    Index Abortion, 785-789 Adenocarcinoma-Cant. gross examination of tissue from, 885-888 of vagina habitual, 788 clear cell, and prenatal exposure to DES, 99-105 induced, 788-789 relation to adenosis, 70, 71 missed, 788 of vulva, 50 spontaneous, 785-787 Adenofibroma in endometritis, 281 of cervix uteri, papillary, 151-152 threatened, 788 of ovary . Abruptio placentae, 779 benign, 523-525 Abscess malignant, 525 Bartholin, 26 of uterus, 371-373 ovarian, 442-443 Adenohypophysial-ovarian axis, 229-230 tubovarian, 442-443 Adenomatoid tumors mesothelioma of uterus, 385-386 Acatalasemia, prenatal diagnosis of, 807 of ovary, 553-554, 572 Acid phosphatase deficiency, lysosomal, prenatal diagnosis tubal, 407 of, 810 Adenomyoma of cervix uteri, 152 Acrochordon of vulva, 30 Adenomyosis, 297-299 Actinomycosis, genital, 141 and carcinoma, 299 in IUD users, 293-294 Adenosarcoma oophoritis in, 445 of ovary, 538-539 salpingitis in, 402 of uterus, 373-376 Adenoacanthoma of ovary, 536 Adenosis, vaginal Adenocarcinoma atypical, from prenatal exposure to DES, 109-111 cervical, 200-207 from prenatal exposure to DES, 69-71, 105-108 cytologic diagnosis of, 854-855 Adenovirus infection, cytologic findings in, 849 in cervical polyp, 143-144 Adolescence, ovarian neoplasms in, 665-700 clear cell, cytologic diagnosis of, 861 Adrenogenital syndrome, 10 in endometriosis of rectovaginal septum, 474-475 and female pseudohermaphroditism, 504-505 of endometrium, 330-333 and male pseudohermaphroditism, 504 of ovary, 532-538, 554 prenatal diagnosis of, 807 cytologic diagnosis of, 860 Age tubal and endometrial secretions, 247 cytologic diagnosis of, 860 ovarian changes with, 437-440 invasive, 409-410 Albinism, vulva in, 34 917 918 Index Alkylating agents, cytologic changes from, 858-859 Animal tumor models-Cant.
    [Show full text]