A RARE CASE OF ANGIOMYOFIBROBLASTOMA OF VULVA

Abstract

D. Hemalatha Devi1, N. Uma2, K. Venkata Ramana3, G. Ramadevi4

INTRODUCTION: Angiomyofibroblastoma is a rare benign tumour, slow growing painless mass
Well circumscribed usually seen in reproductive age group of women, common sites for origin are usually vulva, 10-15% in vagina and other sites like perineal and pelvic region. In male scrotum or paratesticular area are sites for origin. Macroscopically they are soft circumscribed, cut section showing pinkish glistening, homogenous soft tissue appearance, size range from 10-20cm.the typical characteristics are slow growth, gelatinous appearance and without evidence of nuclear Atypia or mitosis. Treatment consists of local excision.
CASE REPORT: A 30 years old nulliparous woman presented on January 2014 with complaint of swelling in right labia majora since 3 years. Gradually enlarged to the size of 12 x 8 Cm. It is a painless mass, no history of fever, no variation in size in lying down position or coughing.
On local examination soft non tender mass in right inguinal and right labia majora measuring about 12 x 8Cm size.
On per speculum examination cervix and vagina are healthy.
On per vaginal examination uterus was anteverted, normal size, mobile, non-tender and all fornices were free. Clinically a diagnosis of fibroma or lipoma was done.

image