Anastomosing Hemangioma of the Ovary: A Clinicopathological Study of Six Cases with Stromal Luteinization

被引:14
|
作者
Dundr, Pavel [1 ,2 ]
Nemejcova, Kristyna [1 ,2 ]
Laco, Jan [3 ,4 ]
Skalova, Helena [1 ,2 ]
Bauerova, Lenka [1 ,2 ]
Matej, Radoslav [1 ,2 ,5 ]
Fischerova, Daniela [2 ,6 ]
机构
[1] Charles Univ Prague, Fac Med 1, Dept Pathol, Studnickova 2, Prague 12800 2, Czech Republic
[2] Gen Univ Hosp Prague, Studnickova 2, Prague 12800 2, Czech Republic
[3] Charles Univ Prague, Fingerland Dept Pathol, Fac Med, Hradec Kralove, Czech Republic
[4] Univ Hosp Hradec Kralove, Hradec Kralove, Czech Republic
[5] Thomayer Hosp, Dept Pathol & Mol Med, Prague, Czech Republic
[6] Charles Univ Prague, Gynecol Oncol Ctr, Dept Obstet & Gynecol, Fac Med 1, Prague, Czech Republic
关键词
Anastomosing hemagioma; Capillary hemangioma; Ovary; Stromal luteinization; Urogenital tract; MATURE CYSTIC TERATOMA; PSEUDO-MEIGS-SYNDROME; CAPILLARY HEMANGIOMA; VASCULAR PROLIFERATION; CAVERNOUS HEMANGIOMA; GENITOURINARY TRACT; VARIANT; ASCITES; KIDNEY;
D O I
10.1007/s12253-016-0186-y
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We report six cases of anastomosing hemangioma of the ovary. All lesions were unilateral and arose in 43 to 81 year old females. In all but one patient, the tumor was asymptomatic and represented incidental finding. The exception was a tumor associated with massive ascites and elevated CA 125. The tumors were, on cut section, spongy and dark violet in color. The size of tumors ranged from 0.5 to 3.5 cm. All lesions showed the same histological features and consisted of capillary sized anastomosing vessels with sinusoid-like pattern intermingled with sporadic medium sized vessels. Interestingly, in all cases there were areas of luteinized cells at the tumor periphery, which ranged from rare small nests to multiple and commonly confluent areas. In one tumor, components of mature adipose tissue were present. Immunohistochemically, all tumors were CD31 and CD34 positive. Other markers examined were negative, including; estrogen receptor, progesterone receptor, androgen receptor, and D2-40. Proliferative activity (Ki-67 index) was very low in all cases. Anastomosing hemangioma is a rare entity, only 8 lesions occurring in ovary has been described from its initial description in 2009. We report six additional cases with their clinicopathological correlation.
引用
收藏
页码:717 / 722
页数:6
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