Angioma of the Endocervical Canal: Case Report and Literature Review

Abstract

Introduction: Angiomyxoma is a rare tumor, aggressive, mesenchymal, which usually involves the pelvis and the perineum, and the vulva is the most common presentation. Its peak incidence occurs in the fourth decade. Its main features are the slow growth and painless with the formation of large masses with high rates of local recurrence without, however, metastasized tumor. Case report: Female, 52 years, with vaginal bleeding in postmenopausal due to 2.0 cm endocervical polyp mimicking cervical leyomyoma. Despite normal papsmear, the hystologic examination revealed aggressive angiomyxoma. The patient underwent radical hysterectomy type II Piver without lymphadenectomy 42 months ago and shows no evidence of local recurrence or distant metastases. This uncommon condition rarely presents clinical manifestation of genital bleeding. Conclusion: Aggressive angiomyxoma is rare and little understood. Surgical treatment remains the treatment modality of choice.