Vega-Gutiérrez AE, Ramírez-Arellano M

Language: Spanish
References: 11
Page: 45-50
PDF size: 487.90 Kb.

ABSTRACT

Introduction. Aggressive angiomyxoma is a myxoid mesenchymal tumor with the characteristic of slow growth, which emerges from the pelvic, genital, or perineal region, predominantly in women. The term aggressive is due to their vascular component and their local behavior, and does not indicate potential for remote dissemination. Their treatment of choice is surgical resection which, when complete, is curative in all cases.
Material and method. Female patient age 40 years referred to imaging with diagnosis of perianal hernia. Vaginography ruled out the presence of fistula. Subsequently ultrasound, computed tomography, and magnetic resonance were performed.
Results. A large solid tumor was identified, hanging from the perineal tissue and in intimate contact with both the posterior wall of the uterus and the anterior wall of the rectum (but with clear plane of separation from them); no infiltration was observed. A diagnosis of aggressive angiomyxoma was obtained by pathological analysis.
Discussion. The observations reported in all the imaging techniques used confirm the tumor’s characteristic of growing around the structures of the pelvic floor without penetrating the muscular layer of the vagina or the rectum, only displacing the adjacent structures.
Conclusion. Aggressive angiomyxoma is a tumor of low prevalence which should be considered among the principal differential diagnoses of pelvic tumors.

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