Aggressive Angiomyxoma of the Vulva: A Bizarre Perineal Lesion

Figure 1

MR images of the lesion. (a, b) Axial, T1-weighted images with gadolinium enhancement and fat saturation. (c) Sagittal, T2-weighted image. The lesion (asterisk) has low signal on T1W images and high signal on T2W image. There is minimal contrast enhancement. The lesion causes anterior displacement of the uterus (arrows (a, c)). On (b), the downward extension of the lesion into the ischiorectal fossa is evident.

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