Aggressive angiomyxoma of left buttock

Aggressive angiomyxoma (AA) is a rare mesenchymal tumour that is characterised by increased incidence in women compared with men, local invasion to the surrounding tissue and high recurrence rate. A premenopausal woman presented to clinic with pelvic pressure, intermittent tingling in the thigh and...

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Bibliographic Details
Published in:BMJ case reports 2021-06, Vol.14 (6), p.e241550
Main Authors: Akram, Hassan, Tran, Deanna, Rehman, Rafey, Al-Wahab, Zaid
Format: Article
Language:English
Subjects:
Bladder
Buttocks
Case Report
Case reports
Cervix
Cysts
Female
Gynecological cancer
Hernias
Humans
Magnetic Resonance Imaging
Male
Medical imaging
Musculoskeletal system
Myxoma - diagnostic imaging
Myxoma - surgery
Neoplasm Recurrence, Local
Pain
Patients
Pelvis
Receptors, Estrogen
Rectum
Tumors
Uterus
Vagina
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Description
Summary:Aggressive angiomyxoma (AA) is a rare mesenchymal tumour that is characterised by increased incidence in women compared with men, local invasion to the surrounding tissue and high recurrence rate. A premenopausal woman presented to clinic with pelvic pressure, intermittent tingling in the thigh and pressure emptying the bladder. CT scan, vaginal and gluteal biopsies, and MRI scan were performed to conclude a final diagnosis of AA. The patient underwent complete resection of the mass. The mass tested positive for oestrogen receptor and progesterone receptor. The patient received leuprolide postoperatively to prevent recurrence. AA should be considered as a differential diagnosis for a pelvic and perineal mass. Patients should be warned of high recurrence rate, necessity of surgical removal and long-term hormonal treatment.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-241550