Vulvar hypertrophy with lymphedema. A mimicker of aggressive angiomyxoma.
Identifieur interne : 004955 ( PubMed/Corpus ); précédent : 004954; suivant : 004956Vulvar hypertrophy with lymphedema. A mimicker of aggressive angiomyxoma.
Auteurs : R. Vang ; J H Connelly ; H A Hammill ; R L ShannonSource :
- Archives of pathology & laboratory medicine [ 0003-9985 ] ; 2000.
English descriptors
- KwdEn :
- MESH :
- pathology : Lymphedema, Myxoma, Vulva, Vulvar Neoplasms.
- Adult, Diagnosis, Differential, Female, Humans, Hypertrophy.
Abstract
We report the case of a 43-year-old quadriplegic woman with bilateral vulvar enlargement. The clinical impression was labial hypertrophy, but the microscopic features mimicked aggressive angiomyxoma because of the location, hypocellular proliferation of fibroblastic cells in an edematous-myxoid stroma, and vessels with perivascular collagen deposition, which simulated the thick-walled vessels of aggressive angiomyxoma. Since the lesion lacked true thick-walled vessels and contained ectatic tortuous lymphatics, the pathologic interpretation was lymphedema. This vulvar lesion should be recognized to prevent the misdiagnosis of aggressive angiomyxoma.
DOI: 10.1043/0003-9985(2000)124<1697:VHWL>2.0.CO;2
PubMed: 11079029
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Vang</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Texas Medical School, Houston, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Connelly, J H" sort="Connelly, J H" uniqKey="Connelly J" first="J H" last="Connelly">J H Connelly</name></author><author><name sortKey="Hammill, H A" sort="Hammill, H A" uniqKey="Hammill H" first="H A" last="Hammill">H A Hammill</name></author><author><name sortKey="Shannon, R L" sort="Shannon, R L" uniqKey="Shannon R" first="R L" last="Shannon">R L Shannon</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2000">2000</date><idno type="RBID">pubmed:11079029</idno><idno type="pmid">11079029</idno><idno type="doi">10.1043/0003-9985(2000)124<1697:VHWL>2.0.CO;2</idno><idno type="wicri:Area/PubMed/Corpus">004955</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004955</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vulvar hypertrophy with lymphedema. A mimicker of aggressive angiomyxoma.</title><author><name sortKey="Vang, R" sort="Vang, R" uniqKey="Vang R" first="R" last="Vang">R. Vang</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Texas Medical School, Houston, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Connelly, J H" sort="Connelly, J H" uniqKey="Connelly J" first="J H" last="Connelly">J H Connelly</name></author><author><name sortKey="Hammill, H A" sort="Hammill, H A" uniqKey="Hammill H" first="H A" last="Hammill">H A Hammill</name></author><author><name sortKey="Shannon, R L" sort="Shannon, R L" uniqKey="Shannon R" first="R L" last="Shannon">R L Shannon</name></author></analytic><series><title level="j">Archives of pathology & laboratory medicine</title><idno type="ISSN">0003-9985</idno><imprint><date when="2000" type="published">2000</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Hypertrophy</term><term>Lymphedema (pathology)</term><term>Myxoma (pathology)</term><term>Vulva (pathology)</term><term>Vulvar Neoplasms (pathology)</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term><term>Myxoma</term><term>Vulva</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Hypertrophy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report the case of a 43-year-old quadriplegic woman with bilateral vulvar enlargement. The clinical impression was labial hypertrophy, but the microscopic features mimicked aggressive angiomyxoma because of the location, hypocellular proliferation of fibroblastic cells in an edematous-myxoid stroma, and vessels with perivascular collagen deposition, which simulated the thick-walled vessels of aggressive angiomyxoma. Since the lesion lacked true thick-walled vessels and contained ectatic tortuous lymphatics, the pathologic interpretation was lymphedema. This vulvar lesion should be recognized to prevent the misdiagnosis of aggressive angiomyxoma.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11079029</PMID><DateCreated><Year>2000</Year><Month>12</Month><Day>01</Day></DateCreated><DateCompleted><Year>2000</Year><Month>12</Month><Day>14</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-9985</ISSN><JournalIssue CitedMedium="Print"><Volume>124</Volume><Issue>11</Issue><PubDate><Year>2000</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Archives of pathology & laboratory medicine</Title><ISOAbbreviation>Arch. Pathol. Lab. Med.</ISOAbbreviation></Journal><ArticleTitle>Vulvar hypertrophy with lymphedema. A mimicker of aggressive angiomyxoma.</ArticleTitle><Pagination><MedlinePgn>1697-9</MedlinePgn></Pagination><Abstract><AbstractText>We report the case of a 43-year-old quadriplegic woman with bilateral vulvar enlargement. The clinical impression was labial hypertrophy, but the microscopic features mimicked aggressive angiomyxoma because of the location, hypocellular proliferation of fibroblastic cells in an edematous-myxoid stroma, and vessels with perivascular collagen deposition, which simulated the thick-walled vessels of aggressive angiomyxoma. Since the lesion lacked true thick-walled vessels and contained ectatic tortuous lymphatics, the pathologic interpretation was lymphedema. This vulvar lesion should be recognized to prevent the misdiagnosis of aggressive angiomyxoma.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vang</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of Texas Medical School, Houston, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Connelly</LastName><ForeName>J H</ForeName><Initials>JH</Initials></Author><Author ValidYN="Y"><LastName>Hammill</LastName><ForeName>H A</ForeName><Initials>HA</Initials></Author><Author ValidYN="Y"><LastName>Shannon</LastName><ForeName>R L</ForeName><Initials>RL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Pathol Lab Med</MedlineTA><NlmUniqueID>7607091</NlmUniqueID><ISSNLinking>0003-9985</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006984" MajorTopicYN="N">Hypertrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009232" MajorTopicYN="N">Myxoma</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014844" MajorTopicYN="N">Vulva</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014846" MajorTopicYN="N">Vulvar Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2000</Year><Month>11</Month><Day>18</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>2</Month><Day>28</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2000</Year><Month>11</Month><Day>18</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11079029</ArticleId><ArticleId IdType="doi">10.1043/0003-9985(2000)124<1697:VHWL>2.0.CO;2</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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