Aggressive Angiomyxoma Presenting as a Recurrent Cervical Polyp – A Case Report

Backgroud: In 1983, Steeper and Rosai first described Aggressive Angiomyxoma. It is a mesenchymal neoplasm of the soft tissue that grows slowly in the pelvis and perineum and infiltrates locally. We present a case of an unusual presentation of Aggressive Angiomyxoma of the cervix uteri in a 16-year old girl.

Case Presentation: A 16-year old patient was referred on account of recurrent mass protruding per vagina 3 months after a repeat polypectomy. There were no other co-morbidities observed. She had polypectomy and subtotal hysterectomy. Histological examination showed a benign mesenchymal neoplasm that was poorly circumscribed composed of spindle shaped cells widely spaced from each other in a myxoid stroma with clustered small to medium sized vascular channels. These findings were consistent with Aggressive Angiomyxoma.

Conclusion: After thorough review of the literature, this index case is the second case reported in Africa and third in the world; other two were reported by Paplomata et al. in Greece and by Bothale K. A. et al in India, with diagnosis of Aggressive Angiomyxoma presenting as a cervical polyp. Aggressive angiomyxoma is rare, so case reports are needed to improve diagnosis and treatment.