Cargando…
Aggressive angiomyxoma of pelvis: A case report and literature review
Aggressive angiomyxoma (AAM) is a rare mesenchymal tumor primarily involving the lower genital tract of reproductive females. It often shares pathologic morphology with other mesenchymal lesions, which result in diagnostic difficulties for pathologists. PATIENT CONCERNS AND DIAGNOSES: We described t...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678608/ https://www.ncbi.nlm.nih.gov/pubmed/36401457 http://dx.doi.org/10.1097/MD.0000000000031617 |
_version_ | 1784834025050865664 |
---|---|
author | Lin, Xue-Mei Wang, Li Wang, Qiong |
author_facet | Lin, Xue-Mei Wang, Li Wang, Qiong |
author_sort | Lin, Xue-Mei |
collection | PubMed |
description | Aggressive angiomyxoma (AAM) is a rare mesenchymal tumor primarily involving the lower genital tract of reproductive females. It often shares pathologic morphology with other mesenchymal lesions, which result in diagnostic difficulties for pathologists. PATIENT CONCERNS AND DIAGNOSES: We described the case of a 32-year-old female presenting with a pelvic mass. Imaging examination showed a “swirling sign” within the mass. The mass was 10.2 × 10 × 7.7 cm, located in the right front of the uterus, with unclear demarcation from the surrounding organs and tissues. The gross appearance was grayish brown with a solid section and a myxedematous cut surface. Microscopically, it was a mesenchymal tumor with a presence of perivascular smooth muscle fibers radiating from the blood vessel and an infiltrative growth pattern. The pelvic AAM was diagnosed based on clinicopathologic and imaging features. INTERVENTIONS AND OUTCOMES: A surgery with local excision of the mass was performed. The patient experienced 1 relapse during 2-year follow-up and underwent the radiation therapy. LESSONS: When the pathological morphology of AAM overlaps with other mesenchymal lesions, the comprehensive understanding of tumor clinicopathological characteristics combined with imaging features is important for the accurate diagnosis of AAM. |
format | Online Article Text |
id | pubmed-9678608 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-96786082022-11-22 Aggressive angiomyxoma of pelvis: A case report and literature review Lin, Xue-Mei Wang, Li Wang, Qiong Medicine (Baltimore) 5700 Aggressive angiomyxoma (AAM) is a rare mesenchymal tumor primarily involving the lower genital tract of reproductive females. It often shares pathologic morphology with other mesenchymal lesions, which result in diagnostic difficulties for pathologists. PATIENT CONCERNS AND DIAGNOSES: We described the case of a 32-year-old female presenting with a pelvic mass. Imaging examination showed a “swirling sign” within the mass. The mass was 10.2 × 10 × 7.7 cm, located in the right front of the uterus, with unclear demarcation from the surrounding organs and tissues. The gross appearance was grayish brown with a solid section and a myxedematous cut surface. Microscopically, it was a mesenchymal tumor with a presence of perivascular smooth muscle fibers radiating from the blood vessel and an infiltrative growth pattern. The pelvic AAM was diagnosed based on clinicopathologic and imaging features. INTERVENTIONS AND OUTCOMES: A surgery with local excision of the mass was performed. The patient experienced 1 relapse during 2-year follow-up and underwent the radiation therapy. LESSONS: When the pathological morphology of AAM overlaps with other mesenchymal lesions, the comprehensive understanding of tumor clinicopathological characteristics combined with imaging features is important for the accurate diagnosis of AAM. Lippincott Williams & Wilkins 2022-11-18 /pmc/articles/PMC9678608/ /pubmed/36401457 http://dx.doi.org/10.1097/MD.0000000000031617 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 5700 Lin, Xue-Mei Wang, Li Wang, Qiong Aggressive angiomyxoma of pelvis: A case report and literature review |
title | Aggressive angiomyxoma of pelvis: A case report and literature review |
title_full | Aggressive angiomyxoma of pelvis: A case report and literature review |
title_fullStr | Aggressive angiomyxoma of pelvis: A case report and literature review |
title_full_unstemmed | Aggressive angiomyxoma of pelvis: A case report and literature review |
title_short | Aggressive angiomyxoma of pelvis: A case report and literature review |
title_sort | aggressive angiomyxoma of pelvis: a case report and literature review |
topic | 5700 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678608/ https://www.ncbi.nlm.nih.gov/pubmed/36401457 http://dx.doi.org/10.1097/MD.0000000000031617 |
work_keys_str_mv | AT linxuemei aggressiveangiomyxomaofpelvisacasereportandliteraturereview AT wangli aggressiveangiomyxomaofpelvisacasereportandliteraturereview AT wangqiong aggressiveangiomyxomaofpelvisacasereportandliteraturereview |