Obstet Gynecol Sci.  2018 May;61(3):425-429. 10.5468/ogs.2018.61.3.425.

Successfully removed uterine angioleiomyoma by robot-assisted laparoscopic myomectomy

• Kim H
• Lee JJ
• Choi Y
• Lee M
• Hwang HJ
• Chung YJ
• Cho HH
• Kim MR

• KMID: 2416134
• DOI: http://doi.org/10.5468/ogs.2018.61.3.425

Abstract

Angioleiomyoma is a rare type of leiomyoma variant and there are a few cases reported to date. Herein, we present a case of angioleiomyoma in a 36-year-old woman with lower abdominal pain, initially diagnosed by degenerated uterine leiomyoma. The transvaginal ultrasonogram showed an ovoid-shaped heterogeneously hyperechoic lesion in left cornual site of uterus and pelvic magnetic resonance image showed an about 5.1 cm sized heterogenous T2 intermediate high mass with poor enhancement. The patient underwent a robot-assisted laparoscopic myomectomy, and final histopathologic diagnosis revealed uterine angioleiomyoma. This case is the first case of angioleiomyoma resected by robotic surgery. The patient is on follow up for over 1 year and shows no evidence of recurrence until now.

Keyword

Angiomyoma; Uterine myomectomy; Robotic surgical procedures

MeSH Terms

Abdominal Pain
Adult
Angiomyoma*
Diagnosis
Female
Follow-Up Studies
Humans
Leiomyoma
Recurrence
Robotic Surgical Procedures
Ultrasonography
Uterine Myomectomy
Uterus

Figure

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  Fig. 1 (A) Transvaginal ultrasonography showing a 4.5 cm sized hyperechoic mass with vascular structures around the mass. (B) Sagittal view on pelvic magnetic resonance image showing 5.1 cm sized heterogeneous, intermediate to high signal intensity in T2-weighted image and (C) poor enhancement in T1-weighted post-gadolinium image. (D) Intra-operative findings showing about 5 cm sized, blood-filled multicystic tumor mass in the myometrium.

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  Fig. 2 (A) Microscopic findings showing thickened smooth muscle fibers and blood vessels (hematoxylin & eosin, ×40). (B) No pleomorphism or mitotic figure is identified in spindle smooth muscle cells and endometrial cells (hematoxylin & eosin, ×100).

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