Aggressive angiomyxoma (AA) is a soft-tissue tumor of mesenchymal origin, not so common, but it occurs and exhibits marked tendency for local recurrence with extremely low risk of distant metastasis. The most common sites of origin include vulvovaginal region, perineum, and pelvis of reproductive age females. We report a case of AA in a 36-year-old female presenting with polypoidal vulval growth on the right side with a previous history of surgical resection at the same site 4 years before. Fine needle aspiration cytology of the growth revealed only blood and no cellular component. The tumor was excised and submitted for histopathological examination. A diagnosis of aggressive angiomyxoma was made based on characteristic histological features.
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