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Case Reports in Obstetrics and Gynecology
Volume 2016 (2016), Article ID 8539704, 4 pages
http://dx.doi.org/10.1155/2016/8539704
Case Report

Aggressive Angiomyxoma in Pregnancy: A Rare Condition, a Common Misdiagnosis

1Department of Gynaecology and Obstetrics, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal
2Department of Pathology, Hospital Pedro Hispano, 4464-513 Matosinhos, Portugal

Received 22 February 2016; Accepted 13 April 2016

Academic Editor: Giampiero Capobianco

Copyright © 2016 J. Sampaio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Aggressive angiomyxoma is a rare mesenchymal neoplasm. Although benign in the majority of the cases, these neoplasms usually present a locally infiltrative nature and high rates of recurrence. Due to its rarity, misdiagnosis is a common problem. Case Presentation. We present one case of aggressive angiomyxoma in a 25-year-old pregnant woman. The patient presented with a large vaginal mass that was interpreted as a vaginal cyst. We performed surgical resection of the neoplasm and the correct diagnosis was only achieved after histological examination. With this case, we highlight the importance of considering this diagnosis in patients with genital and perineal masses of unknown origin and the impact of a correct preoperative diagnosis in patient’s management and follow-up. Conclusion. Although aggressive angiomyxoma is rare, it should be considered in differential diagnosis of pelviperineal masses in young women. Its positivity to estrogen and progesterone receptors can justify enlargement and recurrence during pregnancy, although few cases are reported. Early recognition demands high index of suspicion for both gynaecologists and pathologists. Wide surgical excision with tumor free margins is the basis of curative treatment. Adjuvant therapy may be necessary for residual or recurrent tumors. Long-term follow-up is recommended.