Transperineal aggressive angiomyxoma

BMJ Case Rep. 2017 Apr 11:2017:bcr2016217705. doi: 10.1136/bcr-2016-217705.

Abstract

A 45-year-old woman with a history of total hysterectomy with adnexal preservation for uterine leiomyomas presented to our hospital with a right gluteal palpable mass, which she first noticed 6 months before and had progressively enlarged since then.Radiological studies revealed a 14 cm lesion with translevator growth that displaced rather than invaded adjacent structures, with a peculiar whorled pattern on T2-weighted MRI, which enhanced following gadolinium administration. CT-guided biopsy was performed, and in conjunction with imaging features the diagnosis of an aggressive angiomyxoma was assumed and confirmed following surgical excision.

Keywords: Oncology; Radiology.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Female
  • Humans
  • Magnetic Resonance Angiography
  • Middle Aged
  • Myxoma / diagnostic imaging*
  • Myxoma / surgery*
  • Perineum / diagnostic imaging
  • Perineum / pathology*
  • Perineum / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome