Abstract
We report the case of a 37-year-old Japanese man who presented with a left lower abdominal mass that was initially interpreted clinically as an inguinal hernia. The patient reported a swelling in his left lower abdomen over the past 6 months. Magnetic resonance imaging revealed a left inguinal mass extending from the left spermatic cord to the left inguinal subcutaneous layer. Local excision was performed, with a preoperative diagnosis of benign soft tissue tumor. Histopathological diagnosis revealed aggressive angiomyxoma (AAM), and no recurrence was observed 6 months after surgery. AAM is a rare tumor which most commonly occurs in the pelvis or perineum of premenopausal women, with extremely rare cases in men. The findings from previously reported cases and our case suggest that AAM should be considered in patients with an inguinal or scrotal swelling with a suspicious soft tissue tumor.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Siassi RM (1992) Metastastasizing aggressive angiomyxoma. N Engl J Med 341:1772
Blandmura S, Cruz J, Faure VL, et al. (2003) Aggressive angiomyxoma: a second case of metastasis with patient’s death. Hum Pathol 34:1072–1074
Idrees MT, Hoch BL, Wang BY, et al. (1996) Aggressive angiomyxoma of male genital region. Report of four cases with immunohistochemical evaluation including hormone receptor status. Ann Diagn Pathol 10:197–204
Yaghoobian J, Zinn D, Ramanathan K, et al. (1987) Ultrasound and computed tomographic findings in aggressive angiomyxoma of the uterine cervix. J Ultrasound Med 6:209–212
Outwater EK, Marchetto BE, Wagner BJ, et al. (1999) Aggressive angiomyxoma: findings on CT and MR imaging. AJR Am J Roentgenol 172:310–313
Iezzoni JC, Fechner RE, Wong LS, et al. (1995) Aggressive angiomyxoma in male — report of four cases. Am J Clin Pathol 104: 391–396
Fetsch JF, Laskin WB, Lefkowitz M, et al. (1996) Aggressive angiomyxoma. Aclinicopathologic study of 29 female patients. Cancer 78:79–90
Chan IM, Hon E, Ngai SW, et al. (2000) Aggressive angiomyxoma in females: is radical resection the only option? Acta Obstet Gynecol Scand 79:216–220
Han-Geurts IJM, van Geel AN, van Doorn L, et al. (2006) Aggressive angiomyxoma: multimodality treatment can avoid multilating surgery. J Cancer Surg 32:1217–1221
Htwe M, Deppisch LM, Saint-Julien JS (1995) Hormone-dependent aggressive angiomyxoma of the vulva. Obstet Gynecol 86:697–699
Fine BA, Munoz AK, Litz CE, et al. (2001) Primary medical management of recurrent aggressive angiomyxoma of the vulva with a gonadotropin-releasing hormone agonist. Gynecol Oncol 81: 120–122
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Minagawa, T., Matsushita, K., Shimada, R. et al. Aggressive angiomyxoma mimicking inguinal hernia in a man. Int J Clin Oncol 14, 365–368 (2009). https://doi.org/10.1007/s10147-008-0850-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10147-008-0850-7