Varied Clinical Presentations of Aggressive Angiomyxoma of the Vulva: A Rare Entity
Abstract
Objective: Aggressive Angiomyxoma (AA) of the vulva is a slow-growing mesenchymal tumour with a tendency to local invasion and recurrence.
Case report: We report two cases of vulvoperineal masses that were diagnosed to be Aggressive Angiomyxomas after surgical excision. Both patients presented to the Gynaecology OPD of All India Institute of Medical Sciences, Bathinda, Punjab, India, in 2020 and 2022 with complaints of a mass coming out of introitus of three years duration and 14 years duration, respectively. The first patient was managed by surgical excision of the mass via abdominoperineal approach, while the second patient underwent vaginal hysterectomy along with the removal of the mass. Both patients were given GnRH analogues after the surgery to avoid any further recurrences and have been in remission on follow-ups so far.
Conclusion: Due to its rare occurrence, clinicians should consider the possibility of AA while encountering patients with vulvovaginal masses to avoid misdiagnosis and delayed management.
2. Goyal LD, Garg P, Badyal R, Bhalla S. Aggressive (deep) angiomyxoma of the vulva: a case report. J Med Case Rep. 2022;16(1):71.
3. Blandamura S, Cruz J, Faure Vergara L, Machado Puerto I, Ninfo V. Aggressive angiomyxoma: a second case of metastasis with patient's death. Hum Pathol. 2003;34(10):1072-4.
4. Foust-Wright C, Allen A, Shobeiri SA. Periurethral aggressive angiomyxoma: a case report. Int Urogynecol J. 2013;24(5):877-80.
5. Chan YM, Hon E, Ngai SW, Ng TY, Wong LC. Aggressive angiomyxoma in females: is radical resection the only option? Acta Obstet Gynecol Scand. 2000 Mar;79(3):216-20.
6. Wang Q, Zhao M, Lin X, Zhong W, Gao Y. Aggressive angiomyxoma of the vulva: intra-operative pathological diagnosis is useful in deciding the scope of surgery and reducing recurrence. Acta Chir Belg. 2012;112(1):79-84.
7. Wu H, Liu W, Xu H, Wang D, Ouyang A. Aggressive angiomyxoma of the pelvis: a series of four cases and literature review. Eur J Gynaecol Oncol. 2015;36(5):610-4.
8. Chen Lm, Schink JC, Panares BN, Barbuto D, Lagasse LD. Resection of a giant aggressive angiomyxoma in the Philippines. Gynecol Oncol. 1998;70(3):435-9.
9. Dierickx I, Deraedt K, Poppe W, Verguts J. Aggressive angiomyxoma of the vulva: a case report and review of literature. Arch Gynecol Obstet. 2008;277(6):483-7.
10. Nakamura T, Miura K, Maruo Y, Sunayama K, Maruyama K, Kashiwabara H, Ohata K, Fukazawa A, Nakamura S. Aggressive angiomyxoma of the perineum originating from the rectal wall. J Gastroenterol. 2002;37(4):303-8.
11. Qi S, Li B, Peng J, Wang P, Li W, Chen Y, Cui X, Liu C, Li F. Aggressive angiomyxoma of the liver: a case report. Int J Clin Exp Med. 2015;8(9):15862-5.
12. Nyam DC, Pemberton JH. Large aggressive angiomyxoma of the perineum and pelvis: an alternative approach. Report of a case. Dis Colon Rectum. 1998;41(4):514-6.
13. Siassi RM, Papadopoulos T, Matzel KE. Metastasizing aggressive angiomyxoma. N Engl J Med. 1999;341(23):1772.
14. Lourenço C, Oliveira N, Ramos F, Ferreira I, Oliveira M. Aggressive angiomyxoma of the vagina: a case report. Rev Bras Ginecol Obstet. 2013;35(12):575-82.
15. Steiner E, Schadmand-Fischer S, Schunk K, Bezzi I, Weikel W, Pilch H, et al. Perineal excision of a large angiomyxoma in a young woman following magnetic resonance and angiographic imaging. Gynecol Oncol. 2001;82(3):568-70.
16. Schwartz PE, Hui P, McCarthy S. Hormonal therapy for aggressive angiomyxoma: a case report and proposed management algorithm. J Low Genit Tract Dis. 2014;18(2):E55-61.
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Issue | Vol 18, No 1 (March 2024) | |
Section | Case Reports | |
DOI | https://doi.org/10.18502/jfrh.v18i1.15442 | |
Keywords | ||
Angiomyxoma Vulva Aggressive Recurrence Mesenchymal Tumor |
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