title: Aggressive angiomyxoma of the vulva: a case report and review of the literature.
abstract: BACKGROUND
  Aggressive angiomyxoma is a variant of myxoid neoplasms of the female pelvic soft parts. The term "aggressive" refers to the tumor's locally infiltrative and recurrent nature because distant metastases are rare.
  
  
  METHODS
  A 25-year-old woman presented with a 9-month history of an asymptomatic, polypoid mass arising from the right anterior labium minus. Histopathological and radiological examinations were consistent with a diagnosis of aggressive angiomyxoma. The patient was treated with a GnRH agonist followed by surgical excision.
  
  
  CONCLUSIONS
  We highlight the novel use of a GnRH agonist as a neoadjuvant to surgery in aggressive angiomyxoma to shrink the tumor preoperatively and decrease surgical morbidity.
authors.affiliation: Service de Dermatologie, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada. dsereda@sympatico.ca
authors.forename: Danya
authors.initials: D
authors.lastname: Sereda
authors.forename: Philippe
authors.initials: P
authors.lastname: Sauthier
authors.forename: Rachid
authors.initials: R
authors.lastname: Hadjeres
authors.forename: Deana
authors.initials: D
authors.lastname: Funaro
mesh_terms: D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage*; D005260:Female; D017273:Goserelin / Q000008:administration & dosage*; D006801:Humans; D009232:Myxoma / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D020360:Neoadjuvant Therapy; D009361:Neoplasm Invasiveness; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery
chemical_list: D018931:Antineoplastic Agents, Hormonal; D017273:Goserelin