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CASE REPORT

A Case Report of Malignant Perivascular Epithelioid Cell Tumors of the Uterus and Literature Review

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Pages 619-628 | Received 07 Dec 2023, Accepted 09 Mar 2024, Published online: 15 Apr 2024
 

Abstract

Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal tumors originating from perivascular epithelioid cells. In gynecological system, the uterus is one of the most common sites affected by PEComas. Most PEComas are benign, and patients usually have a good prognosis. However, malignant uterus PEComa is rare, and better comprehensive epidemiological investigations are needed. To date, there are a few reported cases of uterus PEComa. We herein report a rare case of malignant PEComa occurred in the uterine corpus and cervix, possibly accompanied by pulmonary lymphangioleiomyomatosis (PLAM). In addition, 55 cases of malignant uterus PEComa were picked out and collected in the data base of PubMed and Medline. On the one hand, the age of onset, population distribution, clinical manifestations, metastatic sites and routes of metastasis were analysed. On the other hand, a summary of the epidemiology, pathogenesis, diagnosis, and treatments of uterus PEComa was given.

Data Sharing Statement

This case report contains clinical data from the medical records in the Affiliated Hospital of Southwest Medical University. Additional information is available from the corresponding author Q. Wang or Y. Yang upon reasonable request.

Ethics Approval

The study was conducted in accordance with the Declaration of Helsinki. The Affiliated Hospital of Southwest Medical University has approved the release of case details.

Consent Statement

The patient gave her consent for publication of the case report.

Disclosure

None of the authors declare any conflict of interest.

Additional information

Funding

This study was supported by the grants from the Luzhou Science and Technology Department Applied Basic Research program (No: 2022-WYC-196), the Sichuan Province Science and Technology Department of foreign (border) high-end talent introduction project (No: 2023ZHYZ0009), the Doctoral Research Initiation Fund of the Affiliated Hospital of Southwest Medical University (No. 18061) and the Fund for High-level Talents in Luzhou City (No. 02/00180095, 02/00180117).