Laparoscopic Approach for Recurrent Huge Vulval Mass

Excerpt

Aggressive angiomyxoma is a benign mesenchymal tumor with very low potential to metastasize. The tumor was termed as aggressive due to its slow growth with extensive local invasion [1]. Most commonly it is diagnosed only on histopathology. Etiology is unknown and usually affects vulva, perineal region, buttocks of women in reproductive age. It is a rare and recurrent tumor with less than 250 cases reported in the literature [2]. Considering its nature of high local recurrence and extensive invasion, proper diagnosis, management and long-term follow-up are very essential. No treatment modality has proven to be of any benefit for complete cure for this condition. However, total excision of the mass should be opted to prevent the chance of recurrence. Despite complete surgical removal, recurrence rate of aggressive angiomyxoma is reported as high as 72%. …