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Aggressive Angiomyxoma in Males.

Priyadarshini Dehuri1, Debasis Gochhait2, B H Srinivas3

  • 1Senior Resident, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Pondicherry, India.

Journal of Clinical and Diagnostic Research : JCDR
|August 3, 2017
PubMed
Summary

Aggressive angiomyxoma is a rare tumor typically found in women. This report details two rare cases of paratesticular aggressive angiomyxoma in males presenting with inguinal swellings.

Keywords:
Locally infiltrativeParatesticularPaucicellular

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Area of Science:

  • Oncology
  • Pathology

Background:

  • Aggressive angiomyxoma (AAM) is a rare mesenchymal tumor.
  • AAM predominantly affects women in the genital, perineal, and pelvic regions.

Observation:

  • This report describes two male patients with paratesticular AAM presenting as inguinal swellings.
  • Gross examination revealed globular masses with a greyish-white, glistening cut surface.

Findings:

  • Microscopic examination showed a paucicellular tumor with spindle cells, variable caliber vessels, and a myxocollagenous stroma.
  • One case exhibited fat infiltration.
  • Immunohistochemistry revealed CD34, desmin, and vimentin positivity, with negative staining for S100, actin, Estrogen Receptors (ER), and Progesterone Receptors (PR).

Implications:

  • This case series highlights the extreme rarity of paratesticular aggressive angiomyxoma in males.
  • The findings underscore the importance of considering AAM in the differential diagnosis of inguinal masses in men.
  • Understanding the infiltrative nature of AAM is crucial for surgical management and patient outcomes.