Aggressive angiomyxoma of pelvis: Diagnostic challenge

Abstract

Aggressive Angiomyxoma (AA) is a rare, benign, and slow-growing mesenchymal tumor that affects the female pelvis and perineum. It appears as an infiltrative tumor with a high likelihood of local recurrence (up to 71%), which is why it is called aggressive. In this case, a 35-year-old female presented with heavy menstrual bleeding for four months and abdominal pain for one month. Clinical examination revealed the presence of a palpable, uniform, non-mobile mass over the uterus. Ultrasonography revealed fibroid with cystic change. Surgical excision of the mass was performed and its histopathological examination established the diagnosis as aggressive angiomyxoma. The diagnosis of AA is difficult due to its nonspecific clinical and radiological findings. This case report reveals the importance of histopathology in the diagnosis of aggressive angiomyxoma.

Keywords

• aggressive
• angiomyxoma
• pelvic mass