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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Paravaginal aggressive angiomyxoma.

Feras Abu Saadeh¹, Daniel Galvin¹, Mohammed J Alsharbaty¹

¹St James's Hospital, Dublin, Ireland.

BMJ Case Reports

|April 3, 2015

Summary

This summary is machine-generated.

A rare aggressive angiomyxoma mimicked a uterine fibroid in a woman with a history of fibroids and infertility. This pelvic mass required surgical removal after initial treatments failed.

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Area of Science:

Gynecologic Oncology
Pathology
Vascular Biology

Background:

A 34-year-old nulliparous woman presented with infertility and a history of uterine fibroids.
Previous treatments included open myomectomy and uterine artery embolization for a presumed large fibroid.

Observation:

Referral imaging showed an atypical 12×11×10 cm pelvic mass, appearing as a fibroid.
Laparotomy revealed a soft, encapsulated lesion deep in the paravaginal space, distinct from typical fibroids.

Findings:

Histopathological examination confirmed the mass as an aggressive angiomyxoma.
This diagnosis was unexpected given the initial presentation and imaging.

Implications:

Highlights the importance of considering rare diagnoses even with typical presentations.
Underscores the need for accurate histopathological diagnosis in gynecologic masses.
Aggressive angiomyxoma requires specific management strategies distinct from uterine fibroids.