TITLE:
Aggressive angiomyxoma pelvis presenting as an ovarian tumor
AUTHORS:
Errarhay Sanaa, Lamquami Safae, Mahmoud Samia, El Fatemi Hinde, Saadi Hanane, Squalli Nadia, Bouchikhi Chahrazed, Amarti Afaf, Banani Abdelaziz
KEYWORDS:
Aggressive Angiomyxoma; Pelvic Neoplasm; Immunohistochemistry
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.8,
October
24,
2013
ABSTRACT:
Aggressive
angiomyxoma is rare mesenchymal tumor that most commonly arises in the
vulvo-vaginal region, perineum, and pelvis of women. The term aggressively
emphasizes the often infiltrative nature of the tumor and its frequent
association with local recurrence. Preoperative diagnosis and treatment may be
difficult. We report a 55-year-old patient who presented with a pelvic mass
with no significant medical history. The radiological assessment showed a
pelvic cystic tumor retro and lateral bladder. A surgical excision was performed
with a diagnosis of aggressive angiomyxoma pelvis that misdiagnosed as ovarian
tumor. The patient received adjuvant radiotherapy after surgery and remains
well with no signs of local recurrence at 12 months follow-up. As surgery is
the main treatment, preoperative diagnosis and assessment of extent of the
tumor for planning surgery can not be overemphasized. The authors discuss this
finding through the diagnostic difficulties and the evolution of this entity.