[Clinical features and treatment options for aggressive angiomyxoma].
OBJECTIVE
To discuss the clinical features and treatment options for aggressive angiomyxoma (AAM).


METHODS
We retrospectively analyzed the clinical data of 4 patients with AAM treated at PUMC Hospital from January 1990 to December 2004.


RESULTS
There were 1 man and 3 women with an average age of 34 years. The average age of the female patients were 27 years. Two patients (50%) had urinary or enteric compressive complaints, while another 2 patients had no clinical symptoms. Two patients underwent transvaginal surgeries, 1 patient underwent transabdomenal surgery, and 1 patient underwent subcurtaneouly local excision. Three patients (75%) experienced recurrences after operation and the median relapse time was 2.5 years.


CONCLUSIONS
AAM usually occurs in female pelvic cavity and the soft tissues of female perineum. AAM is huge in capacity, and easy to infiltrate or recur locally.
Luo
Min
M
Department of Obstetrics and Gynecology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China. Luobo@sohu.com
Xiang
Yang
Y
Wan
Xi-run
XR
Zhu
Lan
L
Lang
Jing-he
JH
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D014565:Urogenital Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*