Aggressive Angiomyxoma of the Scrotum: A Case Report and Literature Review

Rais Syaeful Haq^1, and Ferry Safriadi²

¹Medical Faculty, Padjadjaran University, dr. Hasan Sadikin Hospital, Bandung, Indonesia

²Division of Urology, dr. Hasan Sadikin Hospital, Bandung, Indonesia

Cite this paper

Rais Syaeful Haq and Ferry Safriadi. Aggressive Angiomyxoma of the Scrotum: A Case Report and Literature Review. American Journal of Medical Case Reports. 2016; 4(7):232-235. doi: 10.12691/AJMCR-4-7-3

Abstract

Aggressive Angiomyxoma is a rare mesenchymal benign myxoid tumor of the pelvis and perineum which occurs almost exclusively in adult females. It rarely occurs in males and involves scrotum, locally infiltrative but nonmetastasizing. The clinical presentation was one of progressing scrotal edema and enlargement with subsequent development of scrotal abscesses. The clinical differential diagnosis at presentation commonly includes inguinal hernia, testicular neoplasm, spermatic cord lipoma, hydrocele, spermatocele, and scrotal filariasis. We report a case of incidentally diagnosed Angiomyxoma of scrotum presenting as scrotal edema. Case Report: A 41 years old male presented with a painless scrotal swelling since 2 years prior to admission that gradually progressed in size. Clinical examination revealed diffuse scrotal swelling measuring about 15×12cm. with a thickened of scrotal skin. Ultrasound examination report was found of fluid collection with debris in the scrotum suspected as scrotal abscess, subcutaneous edema and cutaneous scrotal wall thickening. Result: The patient underwent wide excision and scrotoplasty, the pathology result of the excised scrotal edema was an Angiomyxoma of the scrotum up to tunica vaginalis. Conclusion: Aggressive Angiomyxoma in the scrotal region may present as a scrotal edema and enlargement, often mistaken for an inguinal hernia, testicular neoplasm, spermatic cord lipoma, hydrocele, spermatocele, and scrotal filariasis.

Keywords

Angiomyxoma, Scrotal Edema

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Steeper TA, Rosai J. Aggressive angiomyxoma of the female pelvis and perineum: Report of nine cases of a distinctive type of gynaecologic soft tissue neoplasm. Am J Surg Pathol. 1983; 7: 563-75.
[2]	Chuang FP, Wu ST, Lee SS, Chen HI, Chang SY, Yu DS, et al. Aggressive Angiomyxoma of the Scrotum: Case Report. Archieves of Andrology. 2002; 48: 101-6.
[3]	Morag R, Fridman E, Mor Y. Aggressive Angiomyxoma of the Scrotum Mimicking Huge Hydrocele: Case Report and Literature Review. Case Rep Med. 2009; 2009: 157624.
[4]	Chihara Y, Fujimoto K, Takada S, Hirayama A, Cho M, Yoshida K, et al. Aggressive Angiomyxoma in the Scrotum expressing androgen and progesterone receptors. Int J Urol. 2003; 10: 672-5.
[5]	Padma M, Koteswari M, Rao NB, Sindu P, Lalithasree K. Aggressive Angiomyxoma of Scrotum, a Rare Entity: Case Report. International Journal of Medical Science and Clicical Inventions. 2015; 2: 633-5.
[6]	Iezzoni JC, Fechner RE, Wong LS, Rosai J. Aggressive angiomyxoma in the males: a report of four cases. Am J Clin Pathol. 1995; 104: 391-6.
[7]	Rao KSS, Rao KA, Praveen S. Aggressive Angiomyxoma of Scrotum Presenting as Scrotal Lymphedema in a Case of Postoperative Carcinoma Penis: Case Report. Indian J Surg. 2015; 10: 1007.
[8]	Kidric DM, MacLennan GT. Aggressive Angiomyxoma of the Male Genital Region. The Journal of Urology. 2008; 180: 1506.
[9]	Tsang WY, Chan JK, Lee KC, Fisher C, Fletcher CD. Aggressive Angiomyxoma: a report of four cases occurring in men. Am J Surg Pathol. 1992; 16: 1059-65.
[10]	Rao SN, Dais E, Prabhu S, Kumar TKS, Jose P. Aggressive Angiomyxoma of the Epidydimis: Case Report. Indianjurol. 2001; 18: 96-7.
[11]	Sutton BJ, Laudadio J. Aggressive Angiomyxoma. Arch Pathol Lab Med. 2012; 136: 217-8.