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CASE REPORT
Transperineal aggressive angiomyxoma
  1. Pedro Pereira1,
  2. Elisa Melo Abreu1⇑,
  3. Teresa Margarida Cunha1,
  4. Inês Rolim1,2
  1. 1Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
  2. 2Department of Pathology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
  1. Correspondence to Elisa Melo Abreu, elisameloabreu{at}gmail.com

Summary

A 45-year-old woman with a history of total hysterectomy with adnexal preservation for uterine leiomyomas presented to our hospital with a right gluteal palpable mass, which she first noticed 6 months before and had progressively enlarged since then.

Radiological studies revealed a 14 cm lesion with translevator growth that displaced rather than invaded adjacent structures, with a peculiar whorled pattern on T2-weighted MRI, which enhanced following gadolinium administration. CT-guided biopsy was performed, and in conjunction with imaging features the diagnosis of an aggressive angiomyxoma was assumed and confirmed following surgical excision.

  • Oncology
  • Radiology

https://doi.org/10.1136/bcr-2016-217705

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    Footnotes

    • Contributors PP did the bibliographical research and wrote the manuscript. EMA was responsible for editing the manuscript. IR provided the histological images of the tumour, with respective pathological analysis and diagnosis. TMC revised the manuscript and gave it final approval.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.