Second recurrence of aggressive vulvar angiomyxoma: a case report

Aggressive angiomyxoma is a rare benign tumor with diverse clinical and radiologic presentations, making its differential diagnosis challenging. Here we report the second recurrence of an aggressive angiomyxoma of the vulva in a 33-year-old woman who presented with pain and swelling. Clinical examin...

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Main Authors: Soheila Aminimoghaddam, Niloufar Sarchami, Sarah Sadat Mahboub
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231189366
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author Soheila Aminimoghaddam
Niloufar Sarchami
Sarah Sadat Mahboub
author_facet Soheila Aminimoghaddam
Niloufar Sarchami
Sarah Sadat Mahboub
author_sort Soheila Aminimoghaddam
collection DOAJ
description Aggressive angiomyxoma is a rare benign tumor with diverse clinical and radiologic presentations, making its differential diagnosis challenging. Here we report the second recurrence of an aggressive angiomyxoma of the vulva in a 33-year-old woman who presented with pain and swelling. Clinical examination revealed a well-circumscribed large palpable mass extending from the inferior part of the right labia major into the right side of the gluteus. A second recurrence of aggressive angiomyxoma was suspected based on the patient’s history, clinical examination, and magnetic resonance imaging report, and the patient underwent surgical resection with a negative margin. Histological evaluation of the extracted lesion confirmed the diagnosis of aggressive angiomyxoma. At the 1-year follow-up, the patient was recurrence-free. The present report urges more awareness regarding the aggressiveness of angiomyxoma of the vulva. Closer attention should be given to margin-free removal of such tumors, and patients should be routinely followed up for at least 2 years postoperatively for early diagnosis of recurrence, thereby reducing the risk of morbidity.
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spelling doaj.art-3092384da21943079bec942274bb42892023-08-08T17:03:25ZengSAGE PublishingJournal of International Medical Research1473-23002023-08-015110.1177/03000605231189366Second recurrence of aggressive vulvar angiomyxoma: a case reportSoheila AminimoghaddamNiloufar SarchamiSarah Sadat MahboubAggressive angiomyxoma is a rare benign tumor with diverse clinical and radiologic presentations, making its differential diagnosis challenging. Here we report the second recurrence of an aggressive angiomyxoma of the vulva in a 33-year-old woman who presented with pain and swelling. Clinical examination revealed a well-circumscribed large palpable mass extending from the inferior part of the right labia major into the right side of the gluteus. A second recurrence of aggressive angiomyxoma was suspected based on the patient’s history, clinical examination, and magnetic resonance imaging report, and the patient underwent surgical resection with a negative margin. Histological evaluation of the extracted lesion confirmed the diagnosis of aggressive angiomyxoma. At the 1-year follow-up, the patient was recurrence-free. The present report urges more awareness regarding the aggressiveness of angiomyxoma of the vulva. Closer attention should be given to margin-free removal of such tumors, and patients should be routinely followed up for at least 2 years postoperatively for early diagnosis of recurrence, thereby reducing the risk of morbidity.https://doi.org/10.1177/03000605231189366
spellingShingle Soheila Aminimoghaddam
Niloufar Sarchami
Sarah Sadat Mahboub
Second recurrence of aggressive vulvar angiomyxoma: a case report
Journal of International Medical Research
title Second recurrence of aggressive vulvar angiomyxoma: a case report
title_full Second recurrence of aggressive vulvar angiomyxoma: a case report
title_fullStr Second recurrence of aggressive vulvar angiomyxoma: a case report
title_full_unstemmed Second recurrence of aggressive vulvar angiomyxoma: a case report
title_short Second recurrence of aggressive vulvar angiomyxoma: a case report
title_sort second recurrence of aggressive vulvar angiomyxoma a case report
url https://doi.org/10.1177/03000605231189366
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