Aggressive Angiomyxoma of the Abdominopelvic Cavity: ACase Report

Yun-jie Tian, Shan Kang, Li Li and Xi-wa Zhao

Department of Obstetrics and Gynecology, The Fourth Hospital of Hebei Medical University, PR China

^*Correspondance to: Shan Kang 

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Abstract:

Background: Aggressive Angiomyxoma (AAM) is a rare type of mesenchymal tumor that affects the pelvic and perineal regions of premenopausal women. AAM is a slow-growing, locally infiltrating tumor that tends to recur locally but is unlikely to metastasize. To date, surgery is the standard treatment for AAM, although it carries limited success rates. The literature around AAM is also limited.Case
Presentation: We report an unusual case of a 67-year-old woman with an extensive soft-tissue mass in the pelvic and abdominal cavities. We performed complete tumor excision, and a diagnosis of AAM was confirmed via pathology. The mass recurred within 5 months of surgery and grew in size rapidly. A wider tumor excision was performed 8 months after the initial surgery; however, a recurrent mass was again detected during the subsequent follow-up period. Four months after the second resection, the patient underwent 1 cycle of chemotherapy (cisplatin, ifosfamide, and epirubicin) at another hospital; however, the diameter of the mass continued to increase. At our last follow-up visit (15 months after the initial surgery), the patient was in poor health and had abandoned further treatment.Conclusion: AAM should be considered in the differential diagnosis of asymptomatic, slowgrowing masses in the abdominopelvic cavity. Wide local excision and long-term follow-up are essential for treating AAM.

Keywords:

Aggressive angiomyxoma; Mesenchymal tumor; Wide local excision

Cite the Article:

Yun-jie Tian, Kang S, Li L, Xi-wa Zhao. Aggressive Angiomyxoma of the Abdominopelvic Cavity: A Case Report. Ann Clin Case Rep. 2017; 2: 1263.