An unusual localisation of a superficial angiomyxoma
A 40-year-old woman, without medical or surgical history, presented in our department for a gradually enlarged mass exteriorized from vagina (figure A). There was no history of vaginal discharge, lower abdominal pain or urinary complaints. On speculum examination, a pedunculated, non-tender, brownish and elastic tumor measuring 8 x 2 cm arising from the anterior cervix labium was noted (figure B), suggestive of a fibroepithelial polyp or a soft tissue tumors. The cervix was macroscopically normal. Under spinal anesthesia, a circular incision was made around the cervix implantation of the lesion with clear margins (about 1cm of the normal tissue) forcing excision of the mass. Histopathological examination revealed a lobulated tumor containing prominent myxoid stroma and thin walled vessels, with spindle to stellate tumor cells in higher power view; there were no atypical or mitotic figures in the tumor cells. The pathologic report was benign superficial angiomyxoma. The postoperative course was smooth and she was discharged 1 day after surgery. No recurrence was noted during a postoperative follow-up period of 2 years. Superficial Angiomyxoma is a benign mesenchymal tumor which rarely occurs in cervix, but it should be considered in differential diagnosis of cervical lesions, especially in women of reproductive age.
Moukit Mounir, Department of Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco
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