Beuran Mircea, Ciubotaru Cezar, Runcanu Alexandru, Enache Valentin, Negoi Ionut
Department of General Surgery, Emergency Hospital of Bucharest, Romania.
CH Iii, Emergency Hospital of Bucharest, Romania.
Cureus. 2017 Jul 18;9(7):e1485. doi: 10.7759/cureus.1485.
Aggressive angiomyxoma is a benign stromal tumor with a higher prevalence in middle-aged women. The objective of this case report is to illustrate the aggressive clinical behavior of this benign tumor. We present the case of a 45-year-old female patient, with tumor recurrence after multiple surgical resections of a pelvis-subperitoneal angiomyxoma. Surgical excision of the tumor, with extensive pelvic dissection and organ resection, was performed. The 12-month follow-up showed no tumor recurrence. Based on this case, and the published literature we may conclude that surgical resection represents the main treatment of aggressive angiomyxoma, even though it is associated with significant morbidity and a poor local control of the tumor.
侵袭性血管黏液瘤是一种良性间质肿瘤，在中年女性中更为常见。本病例报告的目的是阐述这种良性肿瘤的侵袭性临床行为。我们报告一例45岁女性患者，盆腔腹膜下血管黏液瘤多次手术切除后复发。对该肿瘤进行了手术切除，并进行了广泛的盆腔清扫和器官切除。12个月的随访显示无肿瘤复发。基于本病例及已发表的文献，我们可以得出结论，手术切除是侵袭性血管黏液瘤的主要治疗方法，尽管它会带来显著的发病率，且对肿瘤的局部控制较差。
