Abstract
Background: Aggressive angiomyxoma (AAM) is a rare semimalignant tumor of the soft tissue predominantly occurring in the genital and pelvic area. It tends to occur more frequently in premenopausal women and it is characterized by slow growth and local infiltrative aggressiveness. It has a considerable risk for local recurrences. Patient and Method: We report the case of a 30-year-old female who had a pelvic tumor for a period of 4 years without adequate therapy before attending our hospital. During this period, the tumor was misdiagnosed first as a Gardner-cyst, later as fibromatosis. Several surgical attempts did not result in complete resection. In July 2002 we performed a laparotomy and complete tumor reduction, preserving fertility potential. Histological examination revealed an aggressive angiomyxoma. The patient remained well after operation and no menstrual or coital problems occurred. Conclusion: An extended case history of progressive tumor growth should not take 4 years to diagnose. A national registry should be established to aid the diagnosis of rare gynecological tumors. The treatment of such tumors should take place in specialized centers.
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