Alhabshi Sharifah Majedah Idrus, Abd Rashid M
Department of Radiology, Faculty of Medicine, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
BMJ Case Rep. 2013 Feb 20;2013:bcr2013008680. doi: 10.1136/bcr-2013-008680.
Aggressive angiomyxoma is a benign soft tissue tumour usually affecting the pelvis and perineum predominantly in women. Because of its variable presentation, this tumour is often clinically misdiagnosed as liposarcoma. We describe a case of a 38-year-old woman who presented with a large perineal and gluteal mass which increased in size in one year. Ultrasound showed hypoechoic mixed solid and cystic mass. Contrasted CT and MRI examinations showed typical appearance of swirling and layering pattern. She had undergone TAHBSO as the mass was difficult to dissect intra-operatively. The post-operative specimen confirmed to be an aggressive angiomyxoma.
侵袭性血管黏液瘤是一种良性软组织肿瘤，通常主要影响女性的盆腔和会阴。由于其表现多样，该肿瘤在临床上常被误诊为脂肪肉瘤。我们描述了一例38岁女性病例，她出现了一个巨大的会阴和臀肌肿块，一年内肿块大小增加。超声显示低回声混合实性和囊性肿块。增强CT和MRI检查显示出典型的漩涡状和分层状表现。由于肿块在术中难以切除，她接受了全子宫双附件切除术。术后标本证实为侵袭性血管黏液瘤。
