Article Text

Download PDFPDF
Aggressive angiomyxoma of left buttock
  1. Hassan Akram,
  2. Deanna Tran,
  3. Rafey Rehman and
  4. Zaid Al-Wahab
  1. Department of Gynecologic Oncology, Beaumont Health, Royal Oak, Michigan, USA
  1. Correspondence to Hassan Akram; hakram{at}


Aggressive angiomyxoma (AA) is a rare mesenchymal tumour that is characterised by increased incidence in women compared with men, local invasion to the surrounding tissue and high recurrence rate. A premenopausal woman presented to clinic with pelvic pressure, intermittent tingling in the thigh and pressure emptying the bladder. CT scan, vaginal and gluteal biopsies, and MRI scan were performed to conclude a final diagnosis of AA. The patient underwent complete resection of the mass. The mass tested positive for oestrogen receptor and progesterone receptor. The patient received leuprolide postoperatively to prevent recurrence. AA should be considered as a differential diagnosis for a pelvic and perineal mass. Patients should be warned of high recurrence rate, necessity of surgical removal and long-term hormonal treatment.

  • cancer intervention
  • obstetrics and gynaecology
  • cancer - see oncology
  • gynecological cancer

Statistics from


  • Contributors HA: Provided and cared for the study patient and collected data. DT and RR: Critically reviewed the study proposal. ZA-W: Provided and cared for the study patient and served as the scientific advisor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.