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Parametrial angiomyolipoma with multicystic change
Rajan Chopra1, Abdul Rahman Al-Mulhim, Hany Hashish
1Department of Laboratory & Blood Bank, King Fahad Hospital, Hofuf, Al-Hassa, Saudi Arabia. drajanchopra2625@hotmail.com
Gynecologic Oncology
|June 25, 2003
Summary
A rare case of extrarenal angiomyolipoma originating in the parametrial soft tissues is presented. This benign tumor, typically found in the kidney, was discovered in a 40-year-old woman
Area of Science:
- Gynecologic Oncology
- Pathology
- Radiology
Background:
- Angiomyolipoma is a benign neoplasm usually of renal origin.
- Extrarenal angiomyolipomas are rare and can occur in various locations.
- This report details an unusual case of extrarenal angiomyolipoma in the parametrial soft tissues.
Observation:
- A 40-year-old woman presented with a large abdominopelvic mass.
- CT scans revealed a solid mass with cystic areas in the pelvic soft tissues, near the uterus.
- Surgical and microscopic evaluation confirmed a tumor distinct from the uterine wall, with typical angiomyolipoma histology and cystic components.
Findings:
- The tumor exhibited typical angiomyolipoma histology.
- Interspersed cystic areas lined by epithelium, consistent with paramesonephric (Mullerian) remnants, were noted.
- The tumor was identified in the parametrial soft tissues, with no connection to the uterine wall.
Implications:
- This is the first reported case of angiomyolipoma arising from parametrial soft tissues in the English medical literature.
- Paramesonephric remnants are common in the broad ligament, suggesting possible entrapment or origin of the tumor.
- Further investigation into the origin of such tumors from paramesonephric remnants is warranted.