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. 2018:53:39-42.
doi: 10.1016/j.ijscr.2018.10.027. Epub 2018 Oct 19.

Angiomyxoma of the ureter imitating an upper tract urothelial carcinoma: A case report

Ahmed S Zugail  1 , Faris Baowaidan  2 , Eva-Maria Comperat  3 , Bertrand Guillonneau  4 , Alexandre Colau  4
Affiliations

Angiomyxoma of the ureter imitating an upper tract urothelial carcinoma: A case report

Ahmed S Zugail et al. Int J Surg Case Rep. 2018.

Abstract

Introduction: Angiomyxomas are rare benign neoplasms of mesenchymal origin arising from the soft tissues of the perineum and pelvis.

Case presentation: To our knowledge, we report the first case of ureteral angiomyxoma arising de novo in a fifty-four-year-old female patient who presented with macroscopic hematuria.

Discussion: The pathological findings, radiological features and operative management will be discussed.

Conclusion: Angiomyxomas are notorious for their locally infiltrative nature and their propensity to recur. Clinical suspicion is capital to reach the diagnosis and a holistic care is key to a good outcome.

Keywords: Aggressive angiomyxoma; Angiomyxoma; Case report; Haematuria; Myxoid tumour; Ureter.

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Figures

Fig. 1
Fig. 1
Oblique reconstruction late portal phase CT scan showing the tumor (asterisk) totally filling the right ureter.
Fig. 2
Fig. 2
The urothelial tissue is represented as a thin layer on top. The lesion consists of multiple vessels and some connective tissue (hematoxylin phloxine saffron stain x 5).
Fig. 3
Fig. 3
a. Alcian blue staining found in the interstitium. A typical feature of the collagenous structure of angiomyxomas (Alcian blue staining x 20). b. CD34 immunohistochemical staining highlighting the rich vascularization of the lesion (CD34 × 5).
See this image and copyright information in PMC

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