En Bloc Resection of an Aggressive Angiomyxoma by a Novel Combination Laparoscopic and Open Perineal Approach

Journal of Minimally Invasive Gynecology
Hiroyuki KanaoNobuhiro Takeshima

Abstract

To show a novel combination laparoscopic and open perineal approach to complete resection of aggressive angiomyxoma. Step-by-step video demonstration of the combination approach (Canadian Task Force classification III). Combined laparoscopic and open perineal approach was performed in the tertiary center. A 46-year-old woman presented with an 8-cm vulvar mass, diagnosed as an aggressive angiomyxoma. The patient, who strongly desired to preserve her uterus and ovaries, provided informed consent for resection of the tumor by our combination approach, also approved by our Institutional Review Board. Combined laparoscopic and open perineal approach. Aggressive angiomyxoma is a rare mesenchymal neoplasm that occurs most often in the female pelviperineal region [1]. Aggressive angiomyxoma is locally infiltrative, and high postoperative local recurrence rates (36%-72%) due to incomplete resection have been reported [2]. Therefore, until recently, wide surgical excision with tumor-free margins have been the most commonly accepted treatment. However, aggressive angiomyxoma is a benign, slow-growing tumor, and because extensive surgical resection, which is associated with high operative morbidity rates, has not been shown to have a signi...Continue Reading

Citations

May 1, 2020·BMJ Case Reports·Ma Corazon Concepcion Cabanilla-ManuntagCzar Louie Gaston
Feb 10, 2021·Annals of the Royal College of Surgeons of England·E PeterknechtS Zaman

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