Skip Navigation LinksHome > January 2013 - Volume 17 - Issue 1 > Late Recurrence of Aggressive Angiomyxoma of the Vulva
Journal of Lower Genital Tract Disease:
doi: 10.1097/LGT.0b013e3182545d2f
Original Articles

Late Recurrence of Aggressive Angiomyxoma of the Vulva

Kiran, Gurkan1; Yancar, Semih1; Sayar, Hamide2; Kiran, Hakan1; Coskun, Ayhan1; Arikan, Deniz Cemgil1

Collapse Box

Abstract

Objective: Aggressive angiomyxoma (AA) is found mainly in the pelvis and perineum, with a female-to-male ratio of approximately 6:1. Although it is a slow growing tumor, AA has a marked tendency to local recurrence with a low metastasis capacity. The study aimed to describe a case of vulvar angiomyxoma recurred almost 20 years after its initial surgery.

Materials and Methods: We report the case of a 57-year-old gravida 5 para 4 woman with vulvar AA arising from the left labium majus, which recurred 20 years after initial surgery. There was a nontender, solid, mobile mass on the left vulva, which was 25 x 30 cm on physical examination. A pelvic computed tomographic scan showed a mass measuring 26 x 10 x 14 cm originating from left vulvar region, which has a fatty tissue density.

Result: Under general anesthesia, total excision of the tumor was performed. Macroscopically, the tumor weighed 723 g and measured 33 x 20 x 10 cm. The histopathological examination of the specimen revealed a myxoid tumor with sparse infiltrates of spindle-shaped to stellate cells and vessels of varying sizes. The final histopathological diagnosis was AA.

Conclusions: Aggressive angiomyxoma may form extremely large tumors, and recurrence is not rare even many years after primary surgery.

©2013The American Society for Colposcopy and Cervical Pathology

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.