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Alternative surgical approaches for aggressive angiomyxoma at different sites in the pelvic cavity.

Choi H, Park C, Ji YI - Obstet Gynecol Sci (2015)

Bottom Line: It is slow growing, locally infiltrative, and has a high risk of local recurrence and the neoplastic character of blood vessels.The standard treatment is surgery.To date, no relapse has been observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

ABSTRACT
Aggressive angiomyxoma, a rare soft tissue benign neoplasm, predominantly occurs in the female pelvic peritoneum and perineum region during reproductive age. It is slow growing, locally infiltrative, and has a high risk of local recurrence and the neoplastic character of blood vessels. The standard treatment is surgery. We report three unusual aggressive angiomyxoma cases. The first case was a pedunculated mass of the left labium major; the second, a left perineal mass that infiltrated into the paravesical area via the obturator foramen; and the third, a big mass in the retroperitoneal cavity, found that growing aggressive angiomyxoma looked like lava expulsion in the pelvic area. After a thorough examination and full radiologic workup, we performed surgical excision in each patient via different approaches. Histopathologic findings were consistent with diagnosis of aggressive angiomyxoma. To date, no relapse has been observed.

No MeSH data available.


Related in: MedlinePlus

Radiologic image and microscopic finding. (A) A computed tomography scan in case 2 shows an 18×15×8-cm large, high-density cystic mass, suspected to be fluid collection in the pelvis, with diffuse peritoneal thickening. (A-a) Sagittal view and (A-b) coronal view. (B) This magnetic resonance imaging scan in case 3 shows a 15×10×6-cm large, irregularly shaped enhanced mass in the left perineum, extending to left retroperitoneum via the obturator foramen. (B-a) Coronal view of pelvis on T2 weighted image. (B-b) Sagittal view on T2 weighted image, distinguished with bladder, uterus, and rectum. (C) This image shows the microscopic photograph of the aggressive angiomyxoma (H&E stain, ×200).
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Figure 2: Radiologic image and microscopic finding. (A) A computed tomography scan in case 2 shows an 18×15×8-cm large, high-density cystic mass, suspected to be fluid collection in the pelvis, with diffuse peritoneal thickening. (A-a) Sagittal view and (A-b) coronal view. (B) This magnetic resonance imaging scan in case 3 shows a 15×10×6-cm large, irregularly shaped enhanced mass in the left perineum, extending to left retroperitoneum via the obturator foramen. (B-a) Coronal view of pelvis on T2 weighted image. (B-b) Sagittal view on T2 weighted image, distinguished with bladder, uterus, and rectum. (C) This image shows the microscopic photograph of the aggressive angiomyxoma (H&E stain, ×200).

Mentions: A 31-year-old woman complained of progressive abdominal distension and lower abdominal swelling. Examination revealed a distended, slightly tender abdomen. Ultrasonography revealed a huge, mixed echogenic mass that looked like fluid collection in the whole pelvic cavity. We suspected hemoperitoneum. Computed tomography (CT) scanning showed an 18×15×8-cm high-density cystic mass and fluid collection in the pelvis with diffuse peritoneal thickening (Fig. 2A). The patient had a normal menstrual history, no operation history, and had never been diagnosed with hepatitis or tuberculosis. Blood serum tests were negative for hepatitis B and C viruses.


Alternative surgical approaches for aggressive angiomyxoma at different sites in the pelvic cavity.

Choi H, Park C, Ji YI - Obstet Gynecol Sci (2015)

Radiologic image and microscopic finding. (A) A computed tomography scan in case 2 shows an 18×15×8-cm large, high-density cystic mass, suspected to be fluid collection in the pelvis, with diffuse peritoneal thickening. (A-a) Sagittal view and (A-b) coronal view. (B) This magnetic resonance imaging scan in case 3 shows a 15×10×6-cm large, irregularly shaped enhanced mass in the left perineum, extending to left retroperitoneum via the obturator foramen. (B-a) Coronal view of pelvis on T2 weighted image. (B-b) Sagittal view on T2 weighted image, distinguished with bladder, uterus, and rectum. (C) This image shows the microscopic photograph of the aggressive angiomyxoma (H&E stain, ×200).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663234&req=5

Figure 2: Radiologic image and microscopic finding. (A) A computed tomography scan in case 2 shows an 18×15×8-cm large, high-density cystic mass, suspected to be fluid collection in the pelvis, with diffuse peritoneal thickening. (A-a) Sagittal view and (A-b) coronal view. (B) This magnetic resonance imaging scan in case 3 shows a 15×10×6-cm large, irregularly shaped enhanced mass in the left perineum, extending to left retroperitoneum via the obturator foramen. (B-a) Coronal view of pelvis on T2 weighted image. (B-b) Sagittal view on T2 weighted image, distinguished with bladder, uterus, and rectum. (C) This image shows the microscopic photograph of the aggressive angiomyxoma (H&E stain, ×200).
Mentions: A 31-year-old woman complained of progressive abdominal distension and lower abdominal swelling. Examination revealed a distended, slightly tender abdomen. Ultrasonography revealed a huge, mixed echogenic mass that looked like fluid collection in the whole pelvic cavity. We suspected hemoperitoneum. Computed tomography (CT) scanning showed an 18×15×8-cm high-density cystic mass and fluid collection in the pelvis with diffuse peritoneal thickening (Fig. 2A). The patient had a normal menstrual history, no operation history, and had never been diagnosed with hepatitis or tuberculosis. Blood serum tests were negative for hepatitis B and C viruses.

Bottom Line: It is slow growing, locally infiltrative, and has a high risk of local recurrence and the neoplastic character of blood vessels.The standard treatment is surgery.To date, no relapse has been observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

ABSTRACT
Aggressive angiomyxoma, a rare soft tissue benign neoplasm, predominantly occurs in the female pelvic peritoneum and perineum region during reproductive age. It is slow growing, locally infiltrative, and has a high risk of local recurrence and the neoplastic character of blood vessels. The standard treatment is surgery. We report three unusual aggressive angiomyxoma cases. The first case was a pedunculated mass of the left labium major; the second, a left perineal mass that infiltrated into the paravesical area via the obturator foramen; and the third, a big mass in the retroperitoneal cavity, found that growing aggressive angiomyxoma looked like lava expulsion in the pelvic area. After a thorough examination and full radiologic workup, we performed surgical excision in each patient via different approaches. Histopathologic findings were consistent with diagnosis of aggressive angiomyxoma. To date, no relapse has been observed.

No MeSH data available.


Related in: MedlinePlus