DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193068

Aggressive angiomyxoma of broad ligament: an uncommon mesenchymal tumor

Sunil Vitthalrao Jagtap, Nitesh Nasre, Nitin S. Kshirsagar, Shubham S. Jagtap

Abstract


Aggressive angiomyxoma is a rare mesenchymal tumor occurring predominantly in the pelviperineal region. Authors present a case of a 70 years female presented with history of distention of lower abdomen with recurrent pain since 6 months. On clinical examination there was suspicion of fibroid. On USG it was reported as huge fleshy, soft tissue mass measuring 20x10x9 cm in lower abdominal flanks and pelvis with vascular pedicle attached to right parametrium. Pan-hysterectomy was performed. Right broad ligament showed mass measuring 18.5x10x6 cm. On histopathological examination it was diagnosed as a case of Aggressive angiomyxoma of broad ligament. We are presenting this case for its extreme rarity, clinicohisto-pathological and radiological findings.


Keywords


Angiomyxoma, Histopathology, Hysterectomy, Tumor of broad ligament

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References


Surabhi VR, Garg N, Furmovitz M, Bhosale P, Prasad SR, Meis JM. Aggressive angiomyxomas : a comprehensive imaging review with clinical and histopathologic correlation. Am J Roentgenol. 2014;202(6):1171-8.

Tsarpalis DC, Giannakopoulos CK, Lagadas AA, Toufexi EG. Aggressive angiomyxoma: case report and review of the literature .Eur J Gynaecol Oncol. 2007;28(6):480-2.

Fetsch JF, Laskin WB, Lefkowitz M, Kindblom LG, Meis-Kindblom JM. Deep angiomyxoma: a clinicopathologic study of 29 female patients. Cancer. 1996;78(1):79-90.

Steeper TA, 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(5):463-75.

Behrnwala KA, Thomas JM. Aggressive angiomyxoma: A distinct clinical entity. Eur J Surg Oncol. 2003;29(7):559-63.

Begin LR, Clement PB, Kirk ME, Jothy S, McCaughey WT, Ferenczy A. Aggressive angiomyxoma of pelvic soft parts: A clinicopathologic study of nine cases. Hum Pathol. 1985;16(6):621-8.

Stephenson BM, Williams EV. Aggressive angiomyxoma of the female perineum and pelvis. Br J Surg. 1992;79(11):1181.

Jagtap SV, Jain A, Jagtap SS, Kshirsagar AY. High-grade myxofibrosarcoma-presented as a large mass of right upper arm. Indian J Pathol Microbiol. 2015;58(1):105-7.

Van Roggen JF, van Unnik JA, Briaire-de Bruijn IH, Hogendoorn PC. Aggressive angiomyxoma: a clinicopathological and immunohistochemical study of 11 cases with long-term follow-up. Virchows Arch. 2005;446(2):157-63.

Chan YM, Hon E, Ngai SW, Ng TY, Wong LC. Aggressive angiomyxoma in females: is radical resection the only option? Acta Obstet Gynecol Scand. 2000;79(5):432.