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Case Reports
. 2015 Apr 1:2015:bcr2014207287.
doi: 10.1136/bcr-2014-207287.

Paravaginal aggressive angiomyxoma

Feras Abu Saadeh  1 , Daniel Galvin  1 , Mohammed J Alsharbaty  1 , Noreen Gleeson  1
Affiliations
Case Reports

Paravaginal aggressive angiomyxoma

Feras Abu Saadeh et al. BMJ Case Rep. .

Abstract

A 34-year-old nulliparous woman with a long-standing history of uterine fibroids and infertility had undergone prior open myomectomy, then uterine artery embolisation in treatment of an apparent large fibroid. Imaging on referral revealed an atypical 12×11×10 cm pelvic mass with the appearance of a fibroid. At laparotomy, the lesion was encapsulated but softer than a fibroid and located deep in the paravaginal space. The histopathological outcome was an aggressive angiomyxoma.

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Figures

Figure 1
Figure 1
Sagittal MRI (A) without contrast and (B) with contrast. Large atypically located pedunculated mass between bladder and uterus. Endometrium preserved.
Figure 2
Figure 2
Well-circumscribed and well-encapsulated fleshy tan gelatinous multilobulated mass.
Figure 3
Figure 3
H&E slide showing widely scattered bland spindle cells (black arrow) with no atypia, extremely rare mitoses and no atypical mitotic figures, within a myxoid background with accompanying prominent, dilated, thick vascular structures (white arrows).
See this image and copyright information in PMC

References

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