Primary Vaginal Leiomyosarcoma Mimicking Bartholin's Cyst.

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2024-04-01 Epub Date: 2024-07-05 DOI:10.4103/jmh.jmh_70_24
Deepthy Balakrishnan, Saubhagya Kumar Jena, Pritinanda Mishra
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引用次数: 0

Abstract

Leiomyosarcomas (LMS) arise from smooth muscle cells with more predilection to the uterus, abdomen, retroperitoneum, and blood vessels. LMS of vagina is very rare and usually presents in the early stage as an asymptomatic mobile mass with no clinical features of malignancy and gives the appearance of a benign lesion which can easily be mistaken for a Bartholin's cyst or a vaginal fibroid. The chances of metastasis in LMS are high with poor survival rates. Histopathology confirms the diagnosis and treatment still remains controversial due to less data on this rare malignancy. Even though there is no evidence that leiomyoma can transform into LMS, benign-looking vaginal fibroids need to be resected to avoid misdiagnosis of LMS. We present a case of vaginal LMS which was mistaken to be Bartholin's cyst due to the lack of knowledge of this aggressive tumor and further management.

模仿巴氏腺囊肿的原发性阴道子宫内膜肉瘤
平滑肌肉瘤(LMS)来源于平滑肌细胞,好发于子宫、腹部、腹膜后和血管。阴道线粒体肉瘤非常罕见,通常在早期表现为无症状的移动性肿块,没有恶性肿瘤的临床特征,看起来像良性病变,很容易被误认为是巴氏腺囊肿或阴道纤维瘤。LMS发生转移的几率很高,存活率很低。组织病理学确诊和治疗仍存在争议,因为关于这种罕见恶性肿瘤的数据较少。尽管没有证据表明子宫肌瘤会转化为 LMS,但仍需切除外观良性的阴道肌瘤,以避免误诊为 LMS。我们报告了一例阴道LMS,由于缺乏对这种侵袭性肿瘤的了解和进一步处理,该病例被误诊为巴氏腺囊肿。
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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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