Uterine angioleiomyoma causing severe abnormal uterine bleeding.
BACKGROUND
Angioleiomyoma or angiomyoma or vascular leiomyoma is an unusual benign mesenchymal neoplasm. The authors present a rare case of large uterine angioleiomyoma causing severe abnormal uterine bleeding.


METHODS
The patient, a 53-year-old, gravida 2, para 2, premenopausal Greek woman presented with a complaint of severe abnormal uterine bleeding. On gynecologic examination there was a palpable pelvic mass. Preoperative computer tomography (CT) of the abdomen and pelvis revealed an intra-abdominal mass 25 x 15 cm with abnormally increased vascularization. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, total omentectomy and elective pelvic lymph node dissection. Histopathology revealed uterine angioleiomyoma. Follow up 84 months after initial surgery showed no evidence of recurrence.


CONCLUSIONS
Despite the type of surgery, patients with uterine angioleiomyoma have very low risk of recurrence and excellent prognosis.
C
C
Grigoriadis
G
G
Androutsopoulos
D
D
Zygouris
N
N
Arnogiannaki
E
E
Terzakis
D018229:Angiomyoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery