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Aggressive angiomyxoma: case report and review of the literature

  • D.C. Tsarpalis1,*,
  • C.K. Giannakopoulos1
  • A.A. Lagadas1
  • E.G. Toufexi1

1Department of Gynecology, LAIKO General Hospital, Athens, Greece

DOI: 10.12892/ejgo200706480 Vol.28,Issue 6,November 2007 pp.480-482

Published: 10 November 2007

*Corresponding Author(s): D.C. Tsarpalis E-mail:

Abstract

Aggressive angiomyxoma is a rare benign mesenchymal neoplasm, found mainly in the female pelvis and perineum. Approximately 160 cases have been reported in the literature to date. The tumor is usually misdiagnosed at presentation. Surgical and margin-free excision is considered the treatment of choice. Other treatment options include use of hormone antagonists, such as tamoxifen, or GnRH analogs, and selective angiographic embolism. High recurrence rate of the tumor, up to 70% within a 2-year period, makes long-term imaging follow-up of the patient necessary.

Keywords

Aggressive angiomyxoma; Vulva; Perimenopausal

Cite and Share

D.C. Tsarpalis,C.K. Giannakopoulos,A.A. Lagadas,E.G. Toufexi. Aggressive angiomyxoma: case report and review of the literature. European Journal of Gynaecological Oncology. 2007. 28(6);480-482.

References

[1] Steeper T.A., Rosai J.: "Aggressive angiomyxoma of the female pelvis and perineum: report of nine cases of a distinctive type of gynecologic soft tissue neoplasm". Am. J. Surg. Pathol., 1983, 7, 463.

[2] Chan I.M., Hon E., Ngai S.W., Domingo J.: "Aggressive angiomyxoma in females: is radical resection the only option?". Acta Obstet. Gynecol. Scand., 2000, 79, 216.

[3] Amezcua C.A., Begley S.J., Mata N., Felix J.C., Ballard C.A.: "Aggressive angiomyxoma of the female genital tract: a clinicopathologic and immunohistochemical study of 12 cases". Int. J Gynecol. Cancer, 2005, 15, 140.

[4] Fetsch J.F., Laskin W.B., Lefkowitz M., Kindblom L.G., MeisKindblom J.M.: "Aggressive angiomyxoma: a clinic pathologic study of 29 female patients". Cancer, 1998, 78, 79.

[5] Magtibay P.M., Salmon Z., Keeney G.L., Podratz K.C.: "Aggressive angiomyxoma of the female pelvis and perineum: a case series". Int. J. Gynecol. Cancer, 2006, 16, 396.

[6] McCluggage W.G.: "Recent advances in immunohistochemistry in gynecological pathology". Histopathology, 2002, 40, 309.

[7] Shahid N., Ahluwalia A., Sahasrabudhe N., Davenport A. "Aggressive angiomyxoma of the vagina: a rare differential diagnosis of a lateral vaginal wall cyst". J. Obstet. Gynaecol., 2005, 25, 622.

[8] Mittal S., Kumar S., Baurasi P., Sharma M.C.: "Aggressive angiomyxoma of the vulva - a case report". Eur. J. Obstet. Gynecol., 1998, 81, 111.

[9] Yalinkaya A., Askar I., Bayhan G.,凡!inc N., Yayla M. "Aggressive angiomyxoma of the female pelvis and labium". Acta Obstet. Gynecol. Scand., 2003, 82, 298.

[10] Dragoumis K., Drevelengas A., Chatzigeorgiou K., Assimakopoulos E., Venizelos I., Togaridou E. et al.: "Aggressive angiomyxoma of the vulva extending into the pelvis: Report of two cases". J. Obstet. Gynecol. Res., 2005, 31, 310.

[11] Smith H.O.,Worrel R.V., Smith A.Y., Dorin M.H, Rosenberg R.D, Bartow SA “Aggresswe angmmyxoma of the female pelws and perineum : review of the literature". Gynecol Oneal., 1991, 42, 79.

[12] Siassi R.M., Papadopoulos T., Matzel K.E. "Metastasizing aggressive angiomyxoma". N. Engl. J. Med., 1999, 341, 1772.

[13] Blandamura S., Cruz J., Faure Vergara L., Machado Puerto I., Ninfa V.: "Aggressive angiomyxoma: a second case of metastasis with patient's death". Hum. Pathol., 2003, 34, 1072.

[14] Lepisto A., Heiskanen I., Bohling T., Raade M., Stefanovic V., Jarvinen H.: "Aggressive angiomyxoma - report of three cases". Int. J. Colorectal Dis., 2007, Letter to the editor.

[15] Granter S.R., Nucci M.R., Fletcher C.D.M.: "Aggressive angiomyxoma: reappraisal of its relationship to angiomyofibroblastoma in a series of 16 cases". Histopathology, 1997, 30, 3.

[16] Bigotti G., Coli A., Gasbarri A., Castagnola D., Madonna V., Bartolazzi A.: "Angiomyofibroblastoma and aggressive angiomyxoma: two benign mesenchymal neoplasms of the female genital tract. An immunohistochemical study". Pathol. Res. Pract., 1999, 195, 39.

[17] McCluggage W.G., Patterson A., Maxwell P.: "Aggressive angiomyxoma of pelvic parts exhibits estrogen and progesterone receptor positivity". J. Clin. Pathol., 2000, 53, 603.

[18] Abu J.I., Bamford WM., Malin G., Brown L., Davies Q., Ireland D.: "Aggressive angiomyxoma of the perineum". Int. J. Gynecol. Cancer, 2005, 15, 1097.

[19] Jeyadevan N.N., Sohaib S.A., Thomas J.M., Jeyarajah A., Shepherd J.H., Fisher C. "Imaging features of aggressive angiomyxoma". Clin. Radio/., 2002, 58, 157.

[20] Han-Geurts I.J., van Geel A.N., van Doorn L., den Bakker M., Eggermont A.M., Verhoef C.: "Aggressive angiomyxoma: multimodulality treatments can avoid mutilating surgery". Eur. J. Surg Oneal., 2006, 32, 1217.

[21] Fine B.A., Munoz A.K., Litz C.E., Gerhenson D.M.: "Primary medical _management of recurrent aggressive angiomyxoma of the vulva with a gonadotropin releasing hormone agonist". Gynecol Oneal., 2001, 81, 120.

[22] Nyam D.C., Pemberton J.H.: "Large aggressive angiomyxoma of the perineum and pelvis: an alternative approach. Report of a case". Dis. Colon. Rectum, 1998, 41, 514.

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