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ISSN 1681-715X |
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CASE REPORT |
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Volume 26 |
April - June 2010 |
Number 2 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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CASE REPORT |
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Volume 26 |
April - June 2010 |
Number 2 |
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Aggressive angiomyxoma of scrotum
presenting as an Inguinal HerniaSafia Rehman1, Rooh-ul-Muqim2, Tamjeed Gul3,
Mohammad Aziz Wazir4, Muhammad Zarin5ABSTRACT
Aggressive Angiomyxoma (AAM) is a rare mesenchymal tumor with a locally aggressive course. The most common location is in the pelviperineal region and occurs mostly in females of childbearing age. In males, it is extremely rare and thus is apt to be mistakenly diagnosed as an inguinal hernia or hydrocele. We report a case of 45 year old man who had right sided scrotal swelling for about four years. It was diagnosed as an inguinal hernia clinically. On further investigations, it was found to be a soft tissue tumor of the scrotum. The patient underwent scrotal exploration. At surgery, a huge lobulated gelatinous mass surrounding the right testicle was found. The mass was excised including the testicle and sent for histopathological analysis. Histologic examination of the excised mass revealed a nonencapsulated lesion composed of sparse spindle-shaped cells and a myxoid stroma with a prominent vascular component. The cells showed focal and weak positivity for desmin. The findings were thus consistent with aggressive angiomyxoma of the scrotum. The margins of the specimen were clear. The patient we report has so far done well with no evidence of recurrence.
KEY WORDS:
Aggressive angiomyxoma, Myxoma, Myxoid tumours, Soft-tissue tumor, Scrotal tumor, Inguinal hernia.Pak J Med Sci April - June 2010 Vol. 26 No. 2 478-481
How to cite this article:
Rehman S, Muqim RU, Gul T, Wazir MZ, Zarin M. Aggressive angiomyxoma of scrotum presenting as an Inguinal Hernia. Pak J Med Sci 2010;26(2):478-481.
1. Dr. Safia Rehman,
Resident, Surgical C Unit,
2. Dr. Rooh-ul-Muqim FCPS, FMAS
Associate Professor, Surgical C Unit,
3. Dr. Tamjeed Gul, FCPS
Resident, Surgical C Unit,
4. Dr. Mohammad Aziz Wazir MD (USA), FRCS (Edin), FRCS (Ire)
Professor and Incharge, Surgical C Unit,
5. Dr. Muhammad Zarin FCPS, MRCS, FMAS
Assistant Professor Surgical D Unit,
1-5: Khyber Teaching Hospital,
Peshawar, Pakistan.
Correspondence:
Dr. Safia Rehman,
House 172, Street 7, Sector H-4,
Phase 2, Hayatabad,
Peshawar, Pakistan.
E-mail: dr_safiarehman@hotmail.com
dr.safiarehman@gmail.com
* Received for Publication: November 23, 2009
* Revision Received: January 18, 2010
* Revision Accepted: January 31, 2010
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