title: Perineal excision of a large angiomyxoma in a young woman following magnetic resonance and angiographic imaging.
abstract: BACKGROUND
  Aggressive angiomyxomas are rare, arise from connective tissue of the perineum or the lower pelvis, and affect predominantly young women.
  
  
  METHODS
  We describe an unusual case of aggressive angiomyxoma in which the perineal approach was possible owing to MRI scanning and selective angiography indications.
  
  
  CONCLUSIONS
  In cases of large aggressive angiomyxomas these diagnostic procedures should make it possible to decide which operative route might be best for the patient.
authors.affiliation: Department of Gynecology and Obstetrics, University of Mainz, FRG-55101 Mainz, Germany. steiner@mail.uni-mainz.de
authors.forename: E
authors.initials: E
authors.lastname: Steiner
authors.forename: S
authors.initials: S
authors.lastname: Schadmand-Fischer
authors.forename: K
authors.initials: K
authors.lastname: Schunk
authors.forename: I
authors.initials: I
authors.lastname: Bezzi
authors.forename: W
authors.initials: W
authors.lastname: Weikel
authors.forename: H
authors.initials: H
authors.lastname: Pilch
authors.forename: P G
authors.initials: PG
authors.lastname: Knapstein
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D009232:Myxoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D010502:Perineum / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*