Department of Gynecology and Obstetrics, "Maggiore della Carità" Hospital, University of Piemonte Orientale, 28100 Novara, Italy.
Department of Translational Medicine, University of Piemonte Orientale, 28100 Novara, Italy.
Medicina (Kaunas). 2023 Aug 3;59(8):1417. doi: 10.3390/medicina59081417.
(1) Background: Aggressive angiomyxoma is a mesenchymal cancer that is rare during pregnancy. It is a neoplasm that relapses and infiltrates the nearest structures. Our aim is to evaluate the management and outcomes of an observed case, in light of the current literature. (2) Methods: We observed this condition at the "Maggiore della Carità" Hospital in Novara (Italy) in a patient with an initial twin pregnancy and a suspected pelvic mass. The words "angiomyxoma" and "pregnancy" were searched on the main online scientific search sources (PubMed, Google Scholar, Scopus, WES, and Embase, etc.). (3) Results: The patient underwent surgery with a complicated follow-up, but recent negative controls. We analyzed the literature about the topic and found only 24 similar clinical cases. (4) Conclusions: Considering the current literature, it is useful to assess an aggressive angiomyxoma in the differential diagnosis of soft masses in pregnant women. The treatment of choice is surgical excision, and vaginal delivery is feasible. The therapeutic decision depends on each case.
(1) 背景：侵袭性血管黏液瘤是一种罕见的妊娠期间发生的间叶性癌症。它是一种易复发并浸润最近结构的肿瘤。我们的目的是根据当前文献评估观察到的病例的处理和结果。
(2) 方法：我们在意大利诺瓦拉的“Maggiore della Carità”医院观察到了这种情况，患者最初怀有双胞胎，且有疑似骨盆肿块。我们在主要的在线科学搜索源（PubMed、Google Scholar、Scopus、WES 和 Embase 等）上搜索了“angiomyxoma”和“pregnancy”这两个词。
(3) 结果：患者接受了手术治疗，但随访过程复杂，最近的检查结果为阴性。我们分析了关于该主题的文献，仅发现了 24 例类似的临床病例。
(4) 结论：考虑到当前的文献，在鉴别诊断妊娠妇女的软组织肿块时，评估侵袭性血管黏液瘤是有用的。首选治疗方法是手术切除，且可行阴道分娩。治疗决策取决于每个病例。
