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Aggressive angiomyxoma of the pelvis: case report and review
Stephen L Corson1, Ernest L Rosato, Francis E Rosato
1Department of Obstetrics and Gynecology, Jefferson University Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Objective:
To report a case of recurrent aggressive angiomyxoma managed by a team composed of a radiologist, general surgeon, and reproductive endocrinologist, with a literature review which focuses on histologic differences between various types of myxomas.
Study Design:
Case report and literature review.
Results And Conclusions:
The proband patient has an apparent cure, but this particular type of myxoma shows a proclivity for recurrence, sometimes years after resection. Therefore, long-term follow-up with MRI or CT scans is necessary. Preoperative management with vessel embolization and creation of gonadal suppression facilitates the surgical approach, which usually can be via a perineal, extraperitoneal route.