2007, Number 2
Rev Med Hosp Gen Mex 2007; 70 (2)
Martínez AA, Hernández-González M, Carrera GE, Alcántara VA, Manzanilla GH
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ABSTRACTThe two first cases of aggresive angiomyxoma treated in men at the General Hospital of Mexico are presented. The first was in a man 69 years old, who presented an increase in volume of the inguinal region, clinically diagnosed as in hernia; the second case was in man 32 years old with an increase in volume of the scrotal region and diagnosed as lymphedema. The aggresive angiomyxoma (AA) is a tumor of soft tissues found in pelvis or perineum, locally aggressive but non metastatic, and is frequently found in women but rare in men. It seems to have a better prognosis in men, that is why we are presenting these cases. The tumors in both genders must be differentiated from intramuscular myxoma, myxoide neurofibroma and angiomyofibroblastoma, all benign tumors, which do not present any risk of recurrence or local invasion. The AA can also be mistaken for a malignant tumor, since it can grow and infiltrate surrounding tissues. It is therefore important to recognize it to establish the prognosis and adequate treatment.