被误诊为子宫肌瘤的肠系膜良性血管周围上皮样细胞瘤:病例报告与文献综述

Omar Al-Nahhas, Aysha Simran Haris, Yousif Basim Raad, Khaled Alaboud Alkheder, Kenichi Miyata
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引用次数: 0

摘要

背景:血管周围上皮样细胞瘤(PEComa)是一种间质肿瘤,由组织学和免疫组织化学上独特的血管周围上皮样细胞组成。良性肠系膜上皮细胞瘤非常罕见,迄今仅有一例报道。我们现介绍一例良性肠系膜上皮细胞瘤,患者为一名 30 岁女性,因腹痛就诊,经显微镜形态学检查和免疫组化染色确诊。本病例报告的目的是让医护人员了解类似病例的诊断标准、为该患者提供的治疗方法,以及多年来报告的其他恶性和良性肠系膜下皮细胞瘤的治疗方法,同时揭示一种新的病例表现和诊断方法。病例报告:我们报告了一例 30 岁女性的病例,她出现腹痛并向背部和直肠放射。经过全面的体格检查并无异常后,她接受了 CT 扫描,结果显示有一个肠系膜肿块。随后,该肿块被切除并送去做组织病理学检查,结果显示为肠系膜上皮细胞瘤。我们报告了一名 30 岁女性的病史、临床表现、实验室报告和大体影像学检查结果,该患者到我们诊所就诊,被诊断为非常罕见的肠系膜良性长肠鳞状上皮细胞瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benign Perivascular Epithelioid Cell Tumor of the Mesentery Misdiagnosed as a Uterine Fibroid: A Case Report and Review of Literature
BACKGROUND: Perivascular epithelioid cell tumor (PEComa) is a type of mesenchymal tumor composed of histologically and immunohistochemically distinctive perivascular epithelioid cells. Benign mesenteric PEComa is a rare entity as there has been only one case reported so far. We are presenting a case of benign mesenteric PEComa in a 30-year-old female that presented with abdominal pain and was diagnosed by microscopic morphological examination and immunohistochemical staining. The aim of this case report is to make health-care professionals aware of the diagnostic criteria in similar presentations, treatment modalities offered for this patient, and others reported over the years for malignant as well as benign PEComas and also shedding the light on a new presentation and diagnosis. CASE REPORT: We reported a case of a 30-year-old female who presented with abdominal pain radiating to the back and rectum. After a thorough physical examination which was unremarkable, a CT scan was done which showed a mesenteric mass. This mass was then resected and sent for histopathology which revealed a PEComa. We report the history, clinical findings, laboratory reports, and gross imaging of a 30-year-old female who presented to our clinic and was diagnosed with a very rare benign mesenteric PEComa. CONCLUSION: PEComa is a rare tumor, and as PEComas arising from the mesentery being one of the rarer kinds with only 10 cases reported and this case being the 11th, out of those ten cases, only two of them were found to be benign which makes the case we are reporting the second benign mesenteric PEComa reported in English Literature.
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来源期刊
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期刊介绍: Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, i­n­formation on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.
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