侵袭性血管黏液瘤的临床特点及治疗

目的探讨侵袭性血管黏液瘤的临床特点及诊治原则。方法回顾性分析1990年1月～2004年12月间我院收治的4例侵袭性血管黏液瘤患者的临床资料。结果男、女患者的比例为1∶3;平均患病年龄34岁,其中女性患者平均年龄27岁。2例患者(50%)有泌尿系统或肠道压迫症状,另2例患者无临床症状。2例患者行经阴手术,1例患者行开腹手术,1例患者行经皮下肿物局部切除术。术后复发3例(75%),平均复发时间为2.5年。结论侵袭性血管粘液瘤易发生于女性盆腔及会阴软组织,瘤体大,易发生局部浸润或复发。

Clinical features and treatment options for aggressive angiomyxoma

Objective To discuss the clinical features and treatment options for aggressive angiomyxoma(AAM).Methods We retrospectively analyzed the clinical data of 4 patients with AAM treated at PUMC Hospital from January 1990 to December 2004.Rusults There were 1 man and 3 women with an average age of 34 years.The average age of the female patients were 27 years.Two patients(50%)had urinary or enteric compressive complaints,while another 2 patients had no clinical symptoms.Two patients underwent transvaginal surgeries,1 patient underwent transabdomenal surgery,and 1 patient underwent subcurtaneouly local excision.Three patients(75%)experienced recurrences after operation and the median relapse time was 2.5 years.Conclusions AAM usually occurs in female pelvic cavity and the soft tissues of female perineum.AAM is huge in capacity,and easy to infiltrate or recur locally.