Aggressive angiomyxoma on the groin in 1 case and review of literature.docVIP

 PAGE \* MERGEFORMAT 12 Aggressive angiomyxoma on the groin in 1 case and review of literature Of: Zhu Jiaming Tangshan Guo Ai-Min Han [Keywords:] male aggressive angiomyxoma groin soft tissue tumors Aggressive angiomyxoma (aggressive angiomyxoma, AAM) is a rare soft tissue tumor, invasive and recurrent clinical features are important In 1994 WHO officially classified as a soft tissue tumor, WHO in 2003 called “deep vascular myxoma (deep angiomyxoma) “Deep angiomyxoma because the naming has not been widely adopted, the current clinical practice is still domestic call it” aggressive angiomyxoma. “Steeper such reports since 1983, since [1], Medline included only 100 I cases. The tumors found in adults, almost all occurred in women, rarely occurs in men. male patients admitted to our department, 1 case is reported below. Patients, male, 66 years old. Because of “cancer” in July 2010 received in hospital. Past history: find the right inguinal mass more than 20 years, asymptomatic, undiagnosed and treatment. Physical examination: right groin shows a mass, about 6cm × 5cm size, skin color constant, hard, activity is acceptable and surrounded by clear boundaries. line “before the resection of rectal cancer” and when a complete resection of the inguinal mass. intraoperative see: mass base of the inguinal ligament adhesions with fixed mass size of about 6cm × 5cm × 4cm, quality hardware, enveloped, giant check: frozen fish-shaped tumor cut surface, seems to be coated, stroma. microscopy: spindle or stellate tumor cells distributed in the loose, containing collagen fibers in the myxoid matrix, cells ill-defined, small kernel, the nucleolus is not obvious, no significant atypia and mitotic figures, and see large amounts of different sizes or thick-walled blood vessel wall (Figure 1 - Figure 4. pathologic diagnosis : Mucinous spindle cell tumors. immunohistochemistry: CD34 (-, nf (-), S-100 (+), Vim (+), desmin (-), SMA (-), with HE and immunophenotypic: