Djusad Suskhan, Sari Yulia Margaretta, Tjahjadi Hartono
Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Urogynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Int J Surg Case Rep. 2021 Jun;83:105948. doi: 10.1016/j.ijscr.2021.105948. Epub 2021 Apr 30.
Aggressive angiomyxoma is a rare soft tissue tumor. Aggressive angiomyxoma is a slow-growing vulvovaginal mesenchymal neoplasm with a marked tendency for local recurrence, but with a low tendency to metastasize. As it has a predilection for the pelvic and perineal regions, Aggressive angiomyxoma is often misdiagnosed. This case report documented rare case of misdiagnosed Aggressive Angiomyxoma as Gartner duct cyst.
This article report a case of 31 year old women who complained mass came out from vagina without any urinary symptom and trauma. Physical examination and ultrasound finding suggested that the mass was Gartner Duct cyst. Management in this case was excision of the vaginal cyst. Histopathology examination revealed Deep (aggressive) angiomyxoma.
The rarity of Deep (Aggressive) Angiomyxoma makes the preoperative diagnosis fairly difficult. Aggressive angiomyxoma is often misdiagnosed as it may have similar clinical presentation to common lesions such as Bartholin cyst or prolapse vaginal wall, Gartner cyst or levator hernia. Aggressive Angiomyxoma should be considered as differential diagnosis in patient with vaginal cyst.
Aggressive Angiomyxoma is rare condition. Preoperative diagnosis and management are challenging. Long term follow op and evaluation should be done due to high rate of recurrence.
侵袭性血管黏液瘤是一种罕见的软组织肿瘤。侵袭性血管黏液瘤是一种生长缓慢的外阴阴道间叶性肿瘤，具有明显的局部复发倾向，但转移倾向较低。由于其好发于盆腔和会阴区域，侵袭性血管黏液瘤常被误诊。本病例报告记录了一例罕见的将侵袭性血管黏液瘤误诊为加特纳管囊肿的病例。
本文报告一例31岁女性患者，主诉阴道肿物脱出，无任何泌尿系统症状及外伤史。体格检查及超声检查提示肿物为加特纳管囊肿。该病例的治疗方式为切除阴道囊肿。组织病理学检查显示为深部（侵袭性）血管黏液瘤。
深部（侵袭性）血管黏液瘤的罕见性使得术前诊断相当困难。侵袭性血管黏液瘤常被误诊，因为它可能与巴氏腺囊肿或阴道壁脱垂、加特纳囊肿或提肌疝等常见病变有相似的临床表现。对于阴道囊肿患者，应考虑侵袭性血管黏液瘤作为鉴别诊断。
侵袭性血管黏液瘤是一种罕见疾病。术前诊断和治疗具有挑战性。由于复发率高，应进行长期随访和评估。
