title: Rare Epithelioid Leiomyoma of the Vagina Exhibiting a Pelvic Mass.
abstract: Epithelioid leiomyoma of the vagina is extremely rare. Smooth muscle tumors of the vagina usually present with a submucosal growth pattern or a pedunculated growth pattern from the anterior vaginal wall into the vaginal cavity. Here we report a case of a 43-year-old woman with a solid epithelioid leiomyoma and a palpable mass in the pouch of Douglas. Transvaginal biopsy and angiography showed the epithelioid leiomyoma feeding from the vaginal artery behind the posterior vagina. An abdominal wide excision of the tumor with a partial vaginectomy was performed. Our use of ultrasound-guided needle biopsy and angiography was useful for preoperative diagnosis of a vaginal epithelioid leiomyoma exhibiting a pelvic mass.
authors.affiliation: Department of Obstetrics and Gynecology, Kohka Public Hospital, Minakuchichomatsuo 1256, Koka, Shiga 528-0074, Japan.
authors.forename: Yuji
authors.identifier: 0000-0002-3486-7011
authors.initials: Y
authors.lastname: Tanaka
authors.affiliation: Department of Obstetrics and Gynecology, Kohka Public Hospital, Minakuchichomatsuo 1256, Koka, Shiga 528-0074, Japan.
authors.forename: Mayuko
authors.initials: M
authors.lastname: Nagasaka
authors.affiliation: Department of Obstetrics and Gynecology, Kohka Public Hospital, Minakuchichomatsuo 1256, Koka, Shiga 528-0074, Japan.
authors.forename: Mariko
authors.initials: M
authors.lastname: Takahashi
authors.affiliation: Department of Obstetrics and Gynecology, Kohka Public Hospital, Minakuchichomatsuo 1256, Koka, Shiga 528-0074, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Kobayashi