Uterine Cervical Angioleiomyoma Mimicking Squamous Cell Carcinoma

Angioleiomyoma, a rare variant of leiomyoma, is a benign tumor of mesenchymal origin. Angioleiomyomas of the female urogenital tract are extremely rare, with only six cases of uterine cervical angioleiomyoma previously reported in the literature. In this case study, we report on a 49-year-old female patient who presented with menorrhagia whose initial magnetic resonance imaging (MRI) findings suggested cervical squamous cell carcinoma (SCC). However, following the hysterectomy, histological examination confirmed the lesion to be angioleiomyoma. To the best of our knowledge, there have been no previously reported cases of angioleiomyomas presenting with MRI findings that are suggestive of uterine SCC. Recognizing that angioleiomyomas can mimic uterine malignancies on MRI may prove beneficial for future diagnostic and treatment strategies.

Automated summary

In this case study, a 49-year-old female patient with menorrhagia was initially suspected to have cervical squamous cell carcinoma based on magnetic resonance imaging (MRI) findings. However, histological examination confirmed the lesion to be angioleiomyoma after hysterectomy. This is the first reported case of angioleiomyoma presenting with MRI findings suggestive of uterine SCC. Recognizing the imaging mimics of angioleiomyomas can be beneficial for accurate diagnosis and appropriate treatment strategies.