Uterine Cervical Angioleiomyoma Mimicking Squamous Cell Carcinoma.

Lee J, Shin S, Kim JH, Lee SL, Chong Y, Kyung Jin Seo, Yim K
Diagnostics (Basel, Switzerland) · 2023 · doi:10.3390/diagnostics13142370 · PMID:37510114 · PMC10378435
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A case report describes a 49-year-old woman with menorrhagia whose uterine cervical angioleiomyoma mimicked squamous cell carcinoma on MRI, highlighting the diagnostic challenge of distinguishing this rare benign tumor from malignancy.

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This case report describes a rare instance of uterine cervical angioleiomyoma that clinically and radiologically mimicked squamous cell carcinoma in a female patient. The authors utilized histopathological examination to confirm the benign vascular smooth muscle tumor diagnosis, highlighting the diagnostic challenge posed by its resemblance to malignancy. No specific treatment outcomes or long-term follow-up data are provided beyond the initial pathological confirmation. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Angioleiomyoma, a rare variant of leiomyoma, is a benign tumor of mesenchymal origin. Angioleiomyomas of the female urogenital tract are extremely rare, with only six cases of uterine cervical angioleiomyoma previously reported in the literature. In this case study, we report on a 49-year-old female patient who presented with menorrhagia whose initial magnetic resonance imaging (MRI) findings suggested cervical squamous cell carcinoma (SCC). However, following the hysterectomy, histological examination confirmed the lesion to be angioleiomyoma. To the best of our knowledge, there have been no previously reported cases of angioleiomyomas presenting with MRI findings that are suggestive of uterine SCC. Recognizing that angioleiomyomas can mimic uterine malignancies on MRI may prove beneficial for future diagnostic and treatment strategies.
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Ack

The authors wish to thank the patient involved for her collaboration in this research.

Data

The data presented in this study are available upon reasonable request from the corresponding author.

Author

Conceptualization, K.Y.; methodology, K.Y.; validation, J.-H.K., S.L.L., and K.Y.; resources, J.-H.K., S.L.L., and K.Y.; data curation, J.L., S.S., and K.Y.; writing—original draft preparation, J.L., S.S., Y.C., and K.J.S.; writing—review and editing, J.L., S.S., Y.C., K.J.S. and K.Y.; visualization, J.L. and S.S.; supervision, Y.C., K.J.S. and K.Y. All authors have read and agreed to the published version of the manuscript.

Funding

This research was supported by the Student Research Program (SRP) of the Catholic University of Korea.

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Informed

Informed consent was obtained from all individual participants included in this study.

Conflicts

The authors declare no conflict of interest.

Institutional

The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Uijeongbu St. Mary’s Hospital (UC23ZISI0039, 18 April 2023).

Associated Data

The data presented in this study are available upon reasonable request from the corresponding author.

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