Mucoid and whirling after cutting. AA should be considered in the differential diagnosis of any painless swelling located in the genitofemoral region, particularly in women of reproductive age. International Journal of Gynecological Cancer ; 8: It should be considered in the differential diagnosis of any mass with perineal symptoms in female patients of childbearing age. View at Google Scholar J. However, long-term use of these drugs is associated with side effects such as menopausal symptoms and bone loss. The bladder and uterus were completely displaced to the right side.
It is notable that preoperative imaging has a crucial importance in the diagnosis of AA. These cases are very common, and often unexpected. According to our view, partial resection should only be considered in cases refusing these surgical risks or in the presence of unresectable tumor. However, long-term use of these drugs is still controversial because of their adverse effects. They are whitish with pink or red outer surfaces and gray colored cross sections resulting from myxoid stroma that is rich in collagen fibers. Aggressive angiomyxoma AA is an uncommon mesenchymal tumor which is predominantly encountered among adult females in reproductive age [ 1 ]. The principle treatment should be complete surgical excision with tumor-free margins.
Hence, we aimed to contribute our case to the literature by presenting the surgical outcome of a patient who underwent radical surgery for a giant AA. However, uncommon localizations such as lung, liver, larynx, and orbit have been reported [ 23angiomxoma — 13 ]. The mass was also extended to the one-third upper level of left thigh. Incomplete or partial resection may lead to high recurrence rates. On T1-weighted MR imaging, the tumor shows isosignal compared to the muscles while on T2 high signal intensity is detected.
Scrotal aggressive angiomyxoma mimicking inguinal hernia. A distal rectal examination showed a firm mass attached to the right side of the distal rectum without infiltration.
Aggressive angiomyxoma: a case series and literature review.
The initial physical examination confirmed the presence of a soft 8 x 5 cm mass with ill-defined edges in the right central gluteus. Cosmetic results are satisfactory as a consequence of the approach selected, and there are no alterations in anorectal continence.
Patients experience dyspareunia and a sensation of mass in the pelvis or abdomen which increases when heavy objects are lifted 5, 6. Mucoid and whirling after cutting. They are even more exotic in men, with very few cases reported in the literature.
It has been reported in male and female children as young as 2 years old 2, 3, 5. Cir Esp ; 84 2: Digital examination of the rectum was normal.
Aggressive angiomyxoma: A case series and literature review
It is important to differentiate angiomyxoma from angiomyofibroblastoma of the vulva which shares histogenic features with it.
It is most frequently found in the scrotum, perineum, groin, pelvis and spermatic cord 1. Presentation of the presacral tumor after performing digital dissection of retrorectal space. A year-old nulliparous female patient with a previous history of left femoral hernia operation was admitted to our hospital. Immunohistochemically, the cells show positive staining with vimentin, desmin, estrogen, and progesterone receptor.
The external iliac artery was intact. Although it is previously regarded as a nonmetastasizing tumor, its metastatic potential has been revealed in a few recent reports [ 45 ].
Immunohistochemical staining of the tumor reveals high positivity for desmin, revieww, ER, and PR receptor; however it generally reveals negativity for S protein [ 12616 ]. According to the immunohistochemical findings of the present tumor, our case was angioymxoma as AA. Given their propensity for local recurrence, differential diagnoses should be done for multiple benign myxoid lesions, even though clinical, microscopic and immunohistochemical characteristics are shared by several types of tumors.
No gastrointestinal symptoms were determined.
It should be considered in the differential diagnosis of any mass with perineal symptoms in female patients of childbearing age. The patient displays no evidence of local recurrence for 2 years postoperatively. Am J Surg Pathol ; 34 7: Services on Demand Article. The tumor was extending to the left thigh via canal of Nuck. Mitosis was not observed. MD 2Heinz O. There are also reports of cases in the retrovesical region, prostate angkomyxoma epididymis 5, 7, 10, 11, Lesions srries or their size, as measured clinically and with imaging, decreases within three months to a year.