Menéndez-Sánchez P, Villarejo-Campos P, Padilla-Valverde D, Muñoz-Atienza V, González-López L, Martín-Fernández J

Language: Spanish
References: 9
Page: 448-450
PDF size: 314.10 Kb.

ABSTRACT

Background: Angiomyofibroblastoma is a soft-tissue lesion. The vulvovaginal region of middle-aged females is the most frequent localization. Angiomyofibroblastoma is a well-circumscribed subcutaneous tumor at the vulva and perineum region. It is a painful and slow-growing tumor. It is often thought to represent a Bartholin’s gland cyst. Treatment of choice is surgical excision.
Clinical case: We describe the case of a 49-year-old female with a right vulvar tumor that had been growing for 2 years. Ultrasonography, computed tomography and magnetic resonance revealed a tumor at the right ischiorectal fossa. Diagnosis after surgical excision was angiomyofibroblastoma.
Conclusions: Angiomyofibroblastoma must be considered in the differential diagnosis of vulvovaginal tumors because its treatment differs from others lesions of that region.

REFERENCES

1. Fletcher CD, Tsang WY, Fisher C, Lee KC, Chan JK. Angiomyofibroblastoma of the vulva. A benign neoplasm distinct from aggressive angiomyxoma. Am J Surg Pathol 1992;16:373-382.

2. Nucci MR, Fletcher CD. Vulvovaginal soft tissue tumours: update and review. Histopathology 2000;36:97-108.

3. Hernández-Monge A, Estrada-Moscoso I, Márquez-Iribe P, Alanís- Fuentes J, Pacheco-Pineda R. Vulvar cellular angiofibroma. A report of a case and bibliographic review. Ginecol Obstet Mex 2006;74:499-502.

4. Ducarme G, Valentin M, Davitian C, Felce-Dachez M, Luton D. Angiomyofibroblastoma: a rare vulvar tumor. Arch Gynecol Obstet 2010;281:161-162.

5. Kavak ZN, Başgül A, Eren F, Ceyhan N. Angiomyofibroblastoma of the vulva: a rare but distinct entity. Acta Obstet Gynecol Scand 2000;79:612-613.

6. Koo PJ, Goykhman I, Lembert L, Nunes LW. MRI features of cellular angiomyofibroma with pathologic correlation. J Magn Reson Imaging 2009;29:1195-1198.

7. Wang J, Sheng W, Tu X, Shi D, Zhu X, Zhang R. Clinicopathologic analysis of angiomyofibroblastoma of the female genital tract. Chin Med J 2000;113:1036-1039.

8. Saleh MM, Yassin AH, Zaklama MS. Recurrent angiomyofibroblastoma of the vagina: a case report. Eur J Gynaecol Oncol 2007;28:324.

9. Kim SW, Lee JH, Han JK, Jeon S. Angiomyofibroblastoma of the vulva: sonographic and computed tomographic findings with pathologic correlation. J Ultrasound Med 2009;28:1417-1420.