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

• Published in: Obstetrics & gynecology science Vol. 58; no. 6; pp. 525 - 529
• Main Authors: Choi, Hongseok, Park, Chanhong, Ji, Yong-Il
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 01.11.2015; 대한산부인과학회
• Subjects: Case Report; 산부인과학; Retroperitoneal neoplasms; Gynecologic surgical procedures; Connective tissue neoplasms; Vulva neoplasms; Angiomyxoma
• ISSN: 2287-8572; 2287-8580
• DOI: 10.5468/ogs.2015.58.6.525

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.