title: Aggressive angiomyxoma in pregnancy.
abstract: Aggressive angiomyxoma (AA) is a rare, slow-growing mesenchymal neoplasm of vulvo-perineal region. Although AA is common in females of reproductive age, only a few cases during pregnancy have been documented in the English literature. It carries a high risk of local recurrence but rarely metastasizes. The high recurrence rate can partially be due to inadequate excision, which may be due to an incorrect preoperative diagnosis. We present a case of 25-year-old pregnant female presenting with a painless and soft mass attached to left labia majora by a stalk. This mass was clinically thought to be a lipoma. It was completely excised and was diagnosed as AA on histopathology. Gynecologists should consider the diagnosis of AA when a young female especially during her pregnancy presents with a vulvo-perineal mass. Incorrect diagnosis may lead to incomplete excision and recurrence.
authors.affiliation: Department of Pathology, Swami Dayanand Hospital , Dilshad Garden, Delhi, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Goyal
authors.affiliation: Department of Obstetrics and Gynecology, Batra Hospital and Medical Research Centre , New Delhi, India.
authors.forename: Dipti
authors.initials: D
authors.lastname: Agrawal
authors.affiliation: Department of Pathology, Swami Dayanand Hospital , Dilshad Garden, Delhi, India.
authors.forename: Shelly
authors.initials: S
authors.lastname: Sehgal
authors.affiliation: Department of Pathology, Swami Dayanand Hospital , Dilshad Garden, Delhi, India.
authors.forename: Soumyesh
authors.initials: S
authors.lastname: Ghosh
authors.affiliation: Department of Pathology, Swami Dayanand Hospital , Dilshad Garden, Delhi, India.
authors.forename: Awanindra
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Department of Pathology, Swami Dayanand Hospital , Dilshad Garden, Delhi, India.
authors.forename: Sompal
authors.initials: S
authors.lastname: Singh
keywords: aggressive angiomyxoma; lipoma; mesenchymal neoplasm; pregnancy; vulva