Rare occurrence of uterine arteriovenous malformation clinically mimicking a malignant growth

A critical reminder for pathologists

Authors

  • Trang K. Lollie University of California (UCLA), David Geffen School of Medicine, Department of Pathology and Laboratory Medicine. Los Angeles, CA, USA. https://orcid.org/0000-0002-3872-6240
  • Steven S. Raman University of California (UCLA), David Geffen School of Medicine, Department of Radiological Sciences. Los Angeles, CA, USA. https://orcid.org/0000-0003-0499-1676
  • Amir Qorbania University of California (UCLA), David Geffen School of Medicine, Department of Pathology and Laboratory Medicine. Los Angeles, CA, USA and University of California San Francisco, School of Medicine, Department of Pathology and Laboratory Medicine. San Francisco, CA, USA. https://orcid.org/0000-0001-8882-6170
  • Ted Farzaneh University of California (UCLA), David Geffen School of Medicine, Department of Pathology and Laboratory Medicine. Los Angeles, CA, USA and University of California Irvine, School of Medicine, Department of Pathology and Laboratory Medicine. Irvine, CA, USA. https://orcid.org/0000-0002-4246-6840
  • Neda A. Moatamed University of California (UCLA), David Geffen School of Medicine, Department of Pathology and Laboratory Medicine. Los Angeles, CA, USA. https://orcid.org/0000-0002-9986-8058

DOI:

https://doi.org/10.4322/acr.2020.144

Keywords:

Uterus, Arteriovenous Malformations, Pathology, Uterine Hemorrhage

Abstract

Arteriovenous malformation (AVM) is a rare lesion in the uterus, which can lead to abnormal uterine bleeding. While AVM has been described in other organs in the literature, there is a paucity of pathology reports of the AVM in uterus. On gross examination, the uterus was markedly enlarged and partly distorted with a pedunculated solid mass, which on the cut surface showed multiple well-circumscribed hemorrhagic cysts ranging from 0.1 to 4.0 cm in size. Microscopically, they were malformed dilated vascular structures containing organized thrombi. We present this case of uterine AVM with gross and microscopic findings, which can serve as a crucial reminder for pathologists to keep in the differential diagnoses as a potential cause of abnormal uterine bleeding.

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Published

2020-08-24

Issue

Section

Article / Clinical Case Report

How to Cite

Lollie, T. K. ., Raman, S. S. ., Qorbania, A. ., Farzaneh, T. ., & Moatamed, N. A. . (2020). Rare occurrence of uterine arteriovenous malformation clinically mimicking a malignant growth: A critical reminder for pathologists. Autopsy and Case Reports, 10(3), e2020144. https://doi.org/10.4322/acr.2020.144