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已发表论文
女性生殖道血管平滑肌瘤扭转：两例罕见病例报告
Authors Zhao W, Liu W, Li J , Huang X
Received 22 August 2025
Accepted for publication 5 November 2025
Published 21 November 2025 Volume 2025:17 Pages 4717—4722
DOI https://doi.org/10.2147/IJWH.S562540
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Matteo Frigerio
Wei Zhao,1,* Wu Liu,2,* Juanqing Li,2 Xiufeng Huang2
1Department of Gynecology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 2Department of Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Xiufeng Huang, Affiliation: Department of Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, No. 1 Xueshi Road, Hangzhou, Zhejiang, 310006, People’s Republic of China, Email huangxiufeng@zju.edu.cn
Background: Angioleiomyoma (ALM) is a rare, benign tumor involving the peripheral soft tissues. Preoperative diagnosis of ALM is challenging, since there are no characteristic clinical or imaging findings. The objective of this article is to present two rare cases of ALM with torsion involving the female genital tract and review published similar cases.
Case Presentation: We report two cases of ALM with torsion originating from the uterus and mesosalpinx, respectively. The two cases presented with abdominal dull pain or a palpable abdominal mass, and imaging findings revealed a large cystic mass, which was suspected to be an ovarian neoplasm. During the surgical procedure, it was found that the mass had undergone torsion. The final histological and immunohistochemical reports of the resected masses validate the diagnosis of ALM.
Conclusion: To our knowledge, this is the first report of torsion of ALM originating from the female genital tract. ALM poses a significant diagnostic challenge in cases of a pelvic cystic mass with torsion, as it is frequently misdiagnosed as an ovarian tumor. Surgical excision of the mass while preserving the uterus and adnexa should be strongly recommended for young patients, as ALM has an excellent prognosis.
Keywords: angioleiomyoma, cystic mass, torsion, surgical excision
1Department of Gynecology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China; 2Department of Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Xiufeng Huang, Affiliation: Department of Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, No. 1 Xueshi Road, Hangzhou, Zhejiang, 310006, People’s Republic of China, Email huangxiufeng@zju.edu.cn
Background: Angioleiomyoma (ALM) is a rare, benign tumor involving the peripheral soft tissues. Preoperative diagnosis of ALM is challenging, since there are no characteristic clinical or imaging findings. The objective of this article is to present two rare cases of ALM with torsion involving the female genital tract and review published similar cases.
Case Presentation: We report two cases of ALM with torsion originating from the uterus and mesosalpinx, respectively. The two cases presented with abdominal dull pain or a palpable abdominal mass, and imaging findings revealed a large cystic mass, which was suspected to be an ovarian neoplasm. During the surgical procedure, it was found that the mass had undergone torsion. The final histological and immunohistochemical reports of the resected masses validate the diagnosis of ALM.
Conclusion: To our knowledge, this is the first report of torsion of ALM originating from the female genital tract. ALM poses a significant diagnostic challenge in cases of a pelvic cystic mass with torsion, as it is frequently misdiagnosed as an ovarian tumor. Surgical excision of the mass while preserving the uterus and adnexa should be strongly recommended for young patients, as ALM has an excellent prognosis.
Keywords: angioleiomyoma, cystic mass, torsion, surgical excision