York Daniel, Saikumar Smera, Patel Pavan, Edwards Christian, Garcia Geossette, Naqvi Hyder
Colquitt Regional Medical Center, Sterling Center Women's Health, Moultrie GA 31768, USA.
Philadelphia College of Osteopathic Medicine, South Georgia Campus, Moultrie, GA 31768, USA.
Case Rep Obstet Gynecol. 2022 Jul 20;2022:5604460. doi: 10.1155/2022/5604460. eCollection 2022.
Aggressive angiomyxomas (AAs) are rare mesenchymal tumors that are histologically composed of myxoid stroma and vasculature. AAs are typically located in the pelvis and perineum and occur more frequently in females of reproductive age. . In this report, we outline a patient who had a paraurethral tumor with histopathology showing a circumscribed hypocellular lesion with myxoid stroma and abundant vasculature, consistent with the diagnosis of aggressive angiomyxoma. The mass was excised with resolution of symptoms and the patient was advised to continue close follow-up with her gynecologist and endocrinologist to monitor for recurrence.
Due to its rarity, aggressive angiomyxomas are often misdiagnosed as cysts, hernias, lipomas, or cancerous lesions. Although benign, close follow-ups are crucial to monitor for recurrences or metastasis.
侵袭性血管黏液瘤(AAs)是一种罕见的间叶组织肿瘤,组织学上由黏液样基质和脉管系统组成。AAs通常位于盆腔和会阴,在育龄女性中更常见。在本报告中,我们概述了一名患有尿道旁肿瘤的患者,其组织病理学显示为一个边界清楚、细胞稀少的病变,伴有黏液样基质和丰富的脉管系统,符合侵袭性血管黏液瘤的诊断。肿块被切除,症状得到缓解,建议患者继续接受妇科医生和内分泌科医生的密切随访,以监测复发情况。
由于其罕见性,侵袭性血管黏液瘤常被误诊为囊肿、疝、脂肪瘤或癌性病变。虽然是良性的,但密切随访对于监测复发或转移至关重要。