Epididim kistini taklit eden skrotal agresif anjiomiksoma: Olgu sunumu

Miksoid tümörler yumuşak doku tümörleri arasında yoğun ekstraselüler matriks varlığı ile karakterizedir. Agresif Anjiomiksoma çoğunlukla yetişkin kadınlarda pelvis ve perinede nadir görülen mezenkimal benign miksoid tümörleridir. Kadınlarda erkeklere göre 6 kat daha fazla gözlenmektedir. Bu tümörler genel olarak lokal yayılım eğiliminde olup, tümörün cerrahi eksizyonu sonrası lokal rekürrens riski yüksektir. Erkeklerde çok nadiren görülen bu tümör, skrotumda hidrosel veya fıtık kesesini taklit eder. Bu olgu sunumunda 40 yaş erkek hastada görüntü olarak epididim kistini taklit eden skrotal agresif anjiomiksoma vakamızı literatür eşliğinde tartışmayı amaçlamaktayız.

Anahtar Kelimeler:

Anjiomiksoma, miksoid, epididim kisti

Scrotal aggressive angiomyxoma, mimicker of epididymal cyst: A case report

Myxoid tumours of soft tissue encompass a heterogeneous group of lesions characterised by a variable abundance of extracellular matrix. Aggressive Angiomyxoma is a rare mesenchymal benign myxoid tumor of the pelvis and perineum which occurs almost exclusively in adult females. Overall, its incidence is about 6-folds higher in females and it is usually locally infiltrating and has a high risk of local recurrence after excision. Rarely, this tumor appears in males in the scrotal, presented as a scrotal mass mimicking hydrocele or hernia. In our case presentation, we aimed to discuss scrotal aggressive angiomyxoma radiologically mimicking the epididymal cyst that occured in 40 years age male patient with current literature.

Keywords:

Angiomyxoma, myxoid, epididymal cyst,

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1. van Roggen JF, van Unnik JA, Briaire-de Bruijn IH, Hogendoorn PC. Aggressive angiomyxoma: a clinicopathological and immunohistochemical study of 11 cases with long-term follow-up. Virchows Archiv : an international journal of pathology 2005;446:157-63.
2. J R. Soft Tissues. In Rosai J (Ed). Rosai and Ackerman’s Surgical Pathology, 9th ed,Philadelphia, Mosby 2004:2237- 373.
3. Vella R, Calleri D. Superficial angiomyxoma of the epidiymis.Presentation of a new case and clinical considerations.Minerva urologica e nefrologica= The Italian journal of urology and nephrology 2000;52:77-9.
4. Allen P. Myxoma is not a single entity: a review of the concept of myxoma. Annals of diagnostic pathology 2000;4:99-123.
5. Steeper TA, Rosai J. Aggressive angiomyxoma of the female pelvis and perineum: Report of nine cases of a distinctive type of gynecologic soft-tissue neoplasm*. The American journal of surgical pathology 1983;7:463-76.
6. Calonje E, Guerin D, McCormick D, Fletcher CD. Superficial angiomyxoma: clinicopathologic analysis of a series of distinctive but poorly recognized cutaneous tumors with tendency for recurrence. The American journal of surgical pathology 1999;23:910.
7. Iezzoni JC, Fechner RE, Wong LS, Rosai J. Aggressive angiomyxoma in males: a report of four cases. American journal of clinical pathology 1995;104:391-6.
8. Morag R, Fridman E, Mor Y. Aggressive angiomyxoma of the scrotum mimicking huge hydrocele: case report and literature review. Case reports in medicine 2009.
9. Outwater EK, Marchetto BE, Wagner BJ, Siegelman ES. Aggressive angiomyxoma: findings on CT and MR imaging. AJR American journal of roentgenology 1999;172:435-8.
10. Chan YM, Hon E, Ngai SW, Ng TY, Wong LC. Aggressive angiomyxoma in females: is radical resection the only option? Acta obstetricia et gynecologica Scandinavica 2000;79:216-20.
11. Orfanelli T, Kim CS, Vitez SF, Van Gurp J, Misra N. A Case Report of Aggressive Angiomyxoma in Pregnancy: Do Hormones Play a Role? Case reports in obstetrics and gynecology 2016;2016:6810368.
12. Im SW, Han SS. Treatment of aggressive angiomyxoma of the female perineum: Combined operative and hormone therapy. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology 2016;36:819-21.
13. Schwartz PE, Hui P, McCarthy S. Hormonal therapy for aggressive angiomyxoma: a case report and proposed management algorithm. Journal of lower genital tract disease 2014;18:55-61.