Abstract

Aggressive angiomyxoma (AA) is a rare mesenchymal tumour which mainly arises in the soft tissue of the pelvis and perineum in women of reproductive age. AA usually shows an aggressive behaviour, with a high rate of incomplete surgical excision and post-surgical recurrence. Most cases of AA exhibit oestrogen and/or progesterone receptors; in these cases, maintenance of a hypo-oestrogenic state can be helpful in the medical management of this tumour. We describe a case of spontaneous reduction in size of an AA during a 6-month period of hormonal replacement therapy withdrawal, assessed by MRI using a 3T magnet.

Highlights

  • SUMMARY Aggressive angiomyxoma (AA) is a rare mesenchymal tumour mainly arising in the soft tissue of the pelvis and perineum in women of reproductive age.[1]

  • We describe a case of spontaneous reduction in size of an AA assessed by MRI during a 6-month period of hormonal replacement therapy (HRT) withdrawal

  • CASE REPORT We present a case of spontaneous reduction in size of a perineal and pelvic AA in a 50-year-old female patient observed during a 6-month period of HRT withdrawal and well assessed using 3T MRI

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Summary

Introduction

We describe a case of spontaneous reduction in size of an AA assessed by MRI during a 6-month period of hormonal replacement therapy (HRT) withdrawal. CASE REPORT We present a case of spontaneous reduction in size of a perineal and pelvic AA in a 50-year-old female patient observed during a 6-month period of HRT withdrawal and well assessed using 3T MRI.

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Conclusion
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