Parametrial angiomyolipoma with multicystic change

Chopra, Rajan; Al-Mulhim, Abdul Rahman; Hashish, Hany

doi:10.1016/s0090-8258(03)00251-8

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Gross and microscopic evaluation ruled out any invasion of the tumour to the uterine wall, fallopian tube and ovary, and had no multicystic spaces as earlier described by Rajan et al in 2003 [2]. It is important to establish a histological diagnosis by frozen section, since a malignant neoplasm like liposacrcoma would need a more radical surgery.…”

Section: Discussionmentioning

confidence: 74%

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Acute Abdomen as an Unusual Presentation of Broad Ligament Angiomyolipoma. A Case Report and Review of Literature

Shakuntala

Shilpashree

Geethanjali

et al. 2012

Indian J Surg Oncol

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A 55 year old postmenopausal woman presented with complaints of sudden onset of right sided abdominal pain restricting her daily activities. Physical examination showed a large, smooth and tender immovable mass, extending from right lumbar region to the right anterior superior iliac spine and extending beyond the midline of the abdomen. On per speculum examination the cervix could not be visualised and to the extent vagina was seen, appeared normal. On per vaginal and rectal examination, cervix was pulled up. Uterus felt atrophic and retroverted, both the fornices were free. On the left in a plane above the adnexa, a firm mass could be tipped on downward displacement of the abdominal mass. On per rectal examination, rectal mucosa was free, bilateral parametrium were supple, pouch of Douglas was free and the same mass could be tipped with the middle finger. Complete haemogram and biochemical investigations were within normal limts.CA-125-was 8 IU/L. A CT scan of abdomen and pelvis was done with contrast. It showed a large retroperitoneal mixed attenuation mass 18.7×12.7×15.5 cms with density value of +20-30Hounsfeild units (Fig. 1).During surgery, minimal haemorrhagic ascites was seen in the peritoneal cavity. A well encapsulated retroperitoneal mass between the leaves of the broad ligament was completely resected, clamping its attachments to the parametrial and lateral pelvic wall and other soft tissues (Fig. 2). Frozen section was reported as lipomatous tumour. Total hysterectomy with bilateral salphingo-oophorectomy was then performed. PathologyGrossly the tumour was irregular, whitish yellowish, bosselated with surface vessels and measuring 30×23.5×25 cms. Cut section showed lobules of fatty tissue, white fibrous and myxoid areas (Fig. 3). Uterus and bilateral tubes and ovaries were normal grossly and histologically.Histology of the tumor consisted of interlacing bundles of spindle cells and foci of thick and thin walled blood vessels in a background of mature adipocytes suggestive of angiomyolipoma (Fig. 4). Interestingly immunohistochemistry with antihuman melanoma HMB-45 was negative.Post operative period was uneventful. Patient is on follow up for the last 13 months and does not have a recurrence clinically or sonographically. DiscussionThe incidence of renal and extra renal angiomyolipoma is 0.3-3 % [1] and that of angiomyolipoma occurring between the leaves of the broad ligament is very rare, only one case by Rajan and et al has been published [2]. Probably ours is the second case reported till date. Acute pain could be due to ischemia of the tumour mass or an impending rupture of the vessel. On reviewing the literature extra renal angiomyolipoma occurring in the female genital tract has been reported

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Section: Discussionmentioning

confidence: 74%

“…The incidence of renal and extra renal angiomyolipoma is 0.3-3 % [1] and that of angiomyolipoma occurring between the leaves of the broad ligament is very rare, only one case by Rajan and et al has been published [2]. Probably ours is the second case reported till date.…”

Section: Discussionmentioning

confidence: 83%

Acute Abdomen as an Unusual Presentation of Broad Ligament Angiomyolipoma. A Case Report and Review of Literature

Shakuntala

Shilpashree

Geethanjali

et al. 2012

Indian J Surg Oncol

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“…17 Usually, extrarenal AML is not associated with tuberous sclerosis. 16 Chopra et al 14 documented the presence of the interspersed epithelium lined cystic areas consistent with the paramesonephric (Mullerian) cystic remnants. The case reported by Shakuntala et al 15 did not find entrapment of the paramesonephric remnants.…”

Section: Discussionmentioning

confidence: 97%

“…[9][10][11][12][13] Few cases of AML involving the female genital tract have been reported, but AML of broad ligaments is very rare. 14,15 A detailed search in Google Scholar and PubMed using the keywords 'Angiomyolipoma' and 'Broad ligament' yielded only two cases. 14,15 AML may or may not be associated with tuberous sclerosis.…”

Section: Discussionmentioning

confidence: 99%

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Angiomyolipoma of the broad ligament

Dutta¹,

Marbaniang²,

Dey³

et al. 2020

Autops. Case Rep.

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Angiomyolipoma is a benign mesenchymal neoplasm of the renal parenchyma, accounting for 1% of all renal parenchymal tumors. However, this entity may rarely occur in extrarenal sites. Extrarenal angiomyolipoma has been documented in various sites of the body, but angiomyolipoma of the broad ligament was reported in only two cases. We report the reputed third case of angiomyolipoma of the broad ligament in a 33-year-old female, who presented clinically with abdominal distension. With a working diagnosis of low-grade neoplasm, an en-bloc excision of the left broad ligament mass was performed. Based on histopathology and immunohistochemistry, a diagnosis of the classical variant of angiomyolipoma of the left broad ligament was made. The post-operative period was uneventful with no recurrence after 6 months of follow-up.

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Uterine Angiomyolipoma: A Case Report and Review of Literature

Mulchandani

Vimala

2020

Indian J Gynecol Oncolog

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Parametrial angiomyolipoma with multicystic change

Cited by 6 publications

References 8 publications

Acute Abdomen as an Unusual Presentation of Broad Ligament Angiomyolipoma. A Case Report and Review of Literature

Acute Abdomen as an Unusual Presentation of Broad Ligament Angiomyolipoma. A Case Report and Review of Literature

Angiomyolipoma of the broad ligament

Uterine Angiomyolipoma: A Case Report and Review of Literature

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