Perivascular epithelioid cell tumour of the uterus: what do we know?

Authors

  • Yvonne W. Y. Wong Department of Obstetrics and Gynecology, K. K. Women’s and Children’s Hospital, Singapore
  • Julian H. L. Kang Department of Obstetrics and Gynecology, K. K. Women’s and Children’s Hospital, Singapore

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205255

Keywords:

Perivascular epithelioid cell, PEComa, Uterus, Gynaecologic, mTOR inhibitors

Abstract

Perivascular epithelioid cell neoplasm (PEComa) is a rare mesenchymal tumour characterized by distinctive histological and immunohistochemical perivascular epithelioid cells. These tumours can be found in various anatomic sites, with gynaecologic PEComas accounting for nearly one-fourth of reported cases in the literature. However, due to its non-specific clinical presentation and a lack of definitive radiological appearance, the diagnosis of PEComas remains challenging. In this case report, we describe a 45-year old lady suffering from urinary retention secondary to large uterine fibroids, who then underwent a total hysterectomy. Postoperative histopathology with immunohistochemical stains confirmed an unexpected finding of uterine PEComa. Although the treatment of gynaecologic PEComas remains controversial, complete surgical resection with negative margins is recommended. A multidisciplinary approach will be beneficial in determining the necessity of adjuvant therapy such as targeted therapy with mTOR inhibitors, especially for PEComas which exhibit aggressive and high-risk features.

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Published

2020-11-26

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Section

Case Reports