Angioleiomyoma: A rare variant of uterine leiomyoma.

ABSTRACT

Leiomyoma is the common benign mesenchymal tumor of uterus. Angioleiomyoma is a rare variant, containing thick walled blood vessels. A 45-year-old female presented with lower abdominal pain and menorrrhagia. Ultrasonography revealed polypoidal intrauterine growth and a sessile nodule on the posterior surface of fundus. She underwent total abdominal hysterectectomy and bilateral salphingo-ophorectomy. On gross examination a polypoidal sessile spongy growth (6x4x3 cm) in the endometrial cavity was noted along with a nodule (2x 2 x 1 cm) on the fundus. Microscopical examination revealed the diagnosis of angioleiomyoma that was supported by findings of immunohistochemistry.