Aggressive angiomyxoma (AA) is an uncommon mesenchymal tumour that is principally located in the soft tissues of the pelvis and perineum of young women. The primary features of this benign tumour are a local invasion, a high local recurrence rate and non-specific local clinical signs. We describe the case of a 58-year-old woman, initially treated for a Bartholin’s cyst. Histological examination indicated the presence of an AA. The MRI showed a 7 cm soft tissue mass extending from the lateral wall of the vagina, into the left buttock and down into the subcutaneous tissue. We performed a radical excision with wide resection, which is considered the standard gold treatment.
- general surgery
- gynecological cancer
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Contributors CD collected the data about the angiomyxoma, wrote our first draft in French, organised the figure, wrote the cover letter and submitted the case to BMJ. He also made the corrections for resubmission. LD translated our French draft in English, described the histological pattern, the differential diagnosis, and asked for the consent of the patient. FC revised and approved the final version of this paper.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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