Department of Obstetrics and Gynecology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
J Minim Invasive Gynecol. 2011 Jul-Aug;18(4):541-4. doi: 10.1016/j.jmig.2011.04.013.
Aggressive angiomyxoma is a rare benign tumor of the pelvic soft tissue in women of reproductive age. The tumor is locally infiltrative and tends to recur. Herein is presented a case report of aggressive angiomyxoma that was totally excised using a transperineal approach. A 35-year-old woman had an aggressive angiomyxoma of the vulva and pelvis, with swelling of the right labium majus pudendi. Three years previously, she had undergone incomplete excision of the same type of pelviperineal mass via the transabdominal route. After a complete workup, a transperineal minimally invasive approach was used to excise the 20-cm mass filling the right side of the pelvis. Histopathologic findings were consistent with a diagnosis of aggressive angiomyxoma. Although often misdiagnosed as various other benign genital disorders, angiomyxoma usually is manifested as a soft nontender mass. After a thorough examination and full radiologic workup, a small transperineal incision may be sufficient for complete removal of the tumor.
侵袭性血管黏液瘤是一种罕见的发生于生育期妇女的盆腔软组织良性肿瘤。该肿瘤具有局部浸润性，且易复发。本文报告了 1 例经会阴入路完全切除的侵袭性血管黏液瘤病例。1 名 35 岁女性因外阴和骨盆侵袭性血管黏液瘤出现右侧大阴唇肿胀，3 年前曾通过经腹入路行不完全切除同类型盆会阴肿块。全面检查后，采用经会阴微创入路切除填满骨盆右侧的 20cm 肿块。组织病理学检查结果符合侵袭性血管黏液瘤的诊断。虽然血管黏液瘤常被误诊为各种其他良性生殖器疾病，但通常表现为柔软、无触痛的肿块。经过彻底检查和全面影像学检查，小的经会阴切口可能足以完全切除肿瘤。
