Aggressive Angiomyxoma Of The Vulva In Post- Menopausal Period: Literature Review And Case Report

Aggressive angiomyxoma (AA) is a rare, benign and slowly growing mesenchymal tumor which affect women especially on the reproductive age. Because over 80% of cases are misdiagnosed and most of them are often confused with lipomas, the diagnosis is made by histological examination. We describe here a case of an 89-year-old female, at menopause, that presented with a large pedunculated angiomyxoma on the right upper of major labia. The vulvar AA diagnosed was made due to clinical-pathologic findings and histologic result after the local excision of the tumor. The patient was discharge 7 days after surgery and along of 7 months of follow-up no recurrence or metastasis were documented. In this case we showed the diagnosis, management and prediction for vulvar angiomyxoma in postmenopausal period, but further follow-up period is necessary for surveilling the recurrence, knowing that the tumor it may reappear in between 2 months and 12 years.