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Aggressive Angiomyxoma: A Small Palpable Vulvar Lesion With a Huge Mass in the Pelvis

Huang, Chun-Chao MD1,2; Sheu, Chin-Yin MD1; Chen, Tung-Ying MD3; Yang, Yuh-Cheng MD,4

Journal of Lower Genital Tract Disease: January 2013 - Volume 17 - Issue 1 - p 75–78
doi: 10.1097/LGT.0b013e3182507df8
Original Articles

Aggressive angiomyxoma (AAM) is a rare soft tissue tumor typically in the pelvis and perineum in women of reproductive age, which is easily misdiagnosed. We describe a woman with vulvar AAM, initially mismanaged as a Bartholin cyst. However, a huge pelvic mass is noted on the following imaging studies. The characteristics of AAM on computed tomography and magnetic resonance imaging have been specified in the literature, but we further point out the potential value of sonography in diagnosing AAM. Besides, excisional biopsy may cause tumor bleeding in a case of AAM.

Aggressive angiomyxoma can mimic other common diseases and thereby is usually mismanaged initially. It is helpful to be familiar with its clinical and radiological presentations.

1Department of Radiology, Mackay Memorial Hospital; 2Mackay Medicine, Nursing and Management College; and Departments of 3Pathology and 4Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan

Reprint requests to: Chin-Yin Sheu, MD, Department of Radiology, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan N. Rd, Taipei, Taiwan. E-mail:

The authors declare they have no conflicts of interest.

©2013The American Society for Colposcopy and Cervical Pathology