盆腔侵袭性血管黏液瘤一例

患者 女,46岁,发现臀部肿物9个月余,于2010年11月入院。患者于9个月前发现臀部3.0 cm ×4.0 cm大小肿物,自觉偶有腹部不适,尤以长期蹲踞时明显。体检：腹部略膨隆,臀部可见一大小约为6.0 cm×5.0 cm肿物,质软,无压痛。     

盆腔侵袭性血管黏液瘤一例

患者 女，39岁。3年前因月经失调在外院就诊，超声发现“盆腔右侧肿块”。无发热、腹痛，当明考虑“阑尾包块”可能，未予特殊处理，随诊盆腔肿块无明显变化，复查肿瘤标志物无异常。     

子宫阔韧带侵袭性血管黏液瘤一例

患者女,48岁.既往月经规律,量中,无痛经,因停经2个月就诊.彩超提示左附件区包块,直径约7 cm.复查彩超提示左附件区混合回声,直径约8 cm.实验室检查无特殊. CT检查:平扫盆腔可见巨大不规则囊实性肿块,大小约10 cm(AP) ×7 cm(RL) ×8 cm(FH),囊性部分较膀胱内尿液密度稍高,实性部分与肌肉密度相近.增强扫描早期,肿块实性部分呈较均匀轻度强化,延迟期强化进一步增加.肿块边界尚光整,局部与子宫左侧阔韧带分界欠清,子宫与膀胱受压右移.     

盆腔侵袭性血管黏液瘤1例

患者女,33岁,已婚.患者于5年前因外阴包块,局麻下行切除术,当地县医院当时诊断为囊肿.半年后包块复发,无明显不适,未就诊,今日出现肛周疼痛. 盆腔平扫、增强CT扫描示:盆腔左侧软组织块影,沿直肠旁间隙向下走行至会阴和臀部皮下,边界清楚,增强扫描肿块内见漩涡条索状影,多考虑良性病变(图1～3);CTA示肿块主要由左侧髂内动脉分支供血(图3).     

外阴侵袭性血管黏液瘤1例

1病例介绍患者女性,19岁,未婚,回族,3年前无意间发现右侧外阴有一鸽蛋大小包块,未予重视及治疗。外阴包块逐渐增大伴疼痛,表面皮肤破溃、流血、流液。门诊以"外阴皮肤肿瘤"收入我院治疗。专科检查:右侧外阴肿胀,外阴下1/3有一大小约16.0cm×10.0cm的     

外阴侵袭性血管黏液瘤1例

病例女,56岁,因发现外阴包块10年余伴逐渐长大,于2010年7月14日入院.妇科检查：右侧大阴唇见一约8.0 cm×5.0 cm×5.0 cm大小包块,颜色与周围皮肤正常,表面光滑,无红肿,无破溃及流液,触诊皮温不高,质地软,无明显边界,无压痛,未扪及明显波动感,左侧外阴无异常.宫颈、子宫、双附件无异常.     

膀胱侵袭性血管粘液瘤1例

<正>患者男,24岁。未婚,以"下腹部胀痛10余天,血尿3天"来院。10天前无明显诱因出现下腹部胀痛,近3天出现全程肉眼血尿,有血凝块,伴有尿频、夜间"尿失禁",无尿急及尿痛。专科检查:膀胱于脐下1cm可触及,质硬,无明显压痛、叩击痛。前列腺无异常。直肠前前列腺上可触及质硬肿物,上界不清,无压痛。彩色超声检查显示双肾集合系统内     

男性盆腔侵袭性血管黏液瘤侵及会阴部一例

<正>病例资料 患者,男,74岁,4年前无意中发现会阴部可扪及一鸽子蛋大小肿块,无腹痛腹胀,未予以治疗。入院查体：会阴部触及肿块可活动且可复,无红肿触痛。实验室检查：淋巴细胞稍低(0.99×109/L,参考值1.1～3.2×109/L),凝血常规、感染标记物及男性肿瘤八项指标均未见异常。8个月前 CT平扫示尿道走行区稍低密度肿块,局部呈团块状向后凸向左侧会阴深部,未见坏死、囊变或钙化。本次入院CT平扫结果(图1)与8个月前相仿。     

侵袭性血管黏液瘤的超声影像

病例1:患者女,40岁,发现会阴部肿块,拟诊会阴部疝收治入院。超声检查:会阴部皮下软组织内发现一巨大混合性肿块,上至盆腔内,包绕子宫,下达会阴部,肿块边界较清晰,无明显包膜,内部回声呈粗大颗粒状,并可见其漂动,中下部为大片的液性暗区,暗区周边可见少量血管,内部可见低速动脉及静脉血流信号。超声诊断为:会阴部混合性肿块与盆腔相通,血肿可能大。后患者接受经腹会阴盆腔肿瘤切除术。病理报告:会阴侵袭性血管黏液瘤。术后随访至今,未见复发或转移。病例2:患者女,41岁,发现会阴部肿块进行性增大6年,拟诊会阴部肿瘤收治入院。超声检查:会阴部…     

侵袭性血管黏液瘤的MRI表现

自从侵袭性血管黏液瘤( aggressive angiomyxoma,AAM)于1983年首次被Steeper和Rosai报道,到2009年为止,大概仅有300例见于各类文献[1].作为好发于中青年女性盆底和会阴部的软组织肿瘤,AAM由于其病理组织特点而在影像上有特征性表现.笔者分析本院自2005年至2010年经手术证实的4例AAM MRI表现和病理组织学检查结果,以提高对该病的诊断水平.     

Aggressive angiomyxoma with gastrointestinal communication: a case report

We report the imaging findings of an abdominal aggressive angiomyxoma, which communicated with the gastrointestinal tract. The literature on this rare tumor is reviewed.     

巨大膀胱憩室内结石合并憩室颈部膀胱癌1例

患者男性,54岁,下腹部不适两年,尿频、尿急等症状,时有下腹疼痛,近日疼痛逐渐加重,尿液检查:少量红细胞.     

Imaging features of aggressive angiomyxoma

AIM: To describe the imaging features of aggressive angiomyxoma in a rare benign mesenchymal tumour most frequently arising from the perineum in young female patients. MATERIALS AND METHODS: We reviewed the computed tomography (CT) and magnetic resonance (MR) imaging features of patients with aggressive angiomyxoma who were referred to our hospital. The imaging features were correlated with clinical information and pathology in all patients. RESULTS: Four CT and five MR studies were available for five patients (all women, mean age 39, range 24-55). Three patients had recurrent tumour at follow-up. CT and MR imaging demonstrated a well-defined mass-displacing adjacent structures. The tumour was of low attenuation relative to muscle on CT. On MR, the tumour was isointense relative to muscle on T1-weighted image, hyperintense on T2-weighted image and enhanced avidly after gadolinium contrast with a characteristic "swirled" internal pattern. MR imaging demonstrates the extent of the tumour and its relation to the pelvic floor. Recurrent tumour has a similar appearance to the primary lesion. CONCLUSION: The MR appearances of aggressive angiomyxomas are characteristic, and the diagnosis should be considered in any young woman presenting with a well-defined mass arising from the perineum.     

Giant hydropic fibroma: a case report

Hydropic degeneration of a uterine leiomyoma is common. Giant forms are uncommon. Positive diagnosis may be challenging because the differential diagnosis includes other rare uterine tumors such as leiomyosarcoma. Uterine localization, the leiomyoma volume, margins with adjacent structures are best evaluated at MRI. Final diagnosis requires gross and microscopic examination. We describe such a diagnostic challenge in a 46-year-old woman with a giant hydropic leiomyoma.     

阴道巨大结石一例

患者女,12岁.排尿困难、尿流不畅9年,加重5 d.患者9年前从高处坠落,腰骶部受伤,在当地医院行手术治疗(具体情况不详).术后1周出现排尿困难,尿流不畅,呈点滴状,伴尿痛,间断有下腹胀痛,导尿后腹痛缓解.1周前会阴部流出少量淡红色液体,持续2 d,伴下腹胀痛,未予处理.     

巨大黏液性脂肪肉瘤1例

患者女,65岁。主因发现右股后侧无痛性肿物5月入院。查体:心肺腹未见明确异常,右大腿后侧皮肤隆起,皮肤色泽正常,无溃破及红肿,大小约20cm×8cm,无明显触痛,质软,表面光滑,病理征阴性。相关影像学检查:①B超检查示:右股后侧皮下囊性包块,边界清晰;②X线片示:右股骨上段后方软组     

后下纵隔巨大平滑肌肉瘤1例

患者男,35岁.20天前无明显诱因出现右上腹及右胸痛,呈渐进性及阵发性隐痛并向右肩部放射,无发热及其它不适.体检:胸廓对称,心界稍大,右上腹部可触及15.0cm×10.0cm的质韧包块,边界清,表面光滑.实验室检查无异常.