Transperineal excision of a sizeable angiofibroma of the ischiorectal fossa. A case report.

Case Rep Womens Health

1st Department of Obstetrics & Gynecoloogy, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.

Published: April 2021

AI Article Synopsis

  • Cellular angiofibroma is a rare, benign soft-tissue tumor often seen in middle-aged women, typically in the vulvar area, and can be mistaken for cancer.
  • A 49-year-old woman had a painless tumor found in the left ischiorectal fossa during a routine CT scan, initially suggestive of malignancy.
  • After surgical excision and analysis, it was confirmed to be a cellular angiofibroma with no complications, emphasizing the importance of a multidisciplinary approach for diagnosing and treating such rare tumors.

Article Abstract

Cellular angiofibroma is a recently described rare benign soft-tissue tumor more commonly presenting in middle-aged women, often mimicking malignancy. The vulva is most common location. Complete local excision is the best curative treatment and usually there is no recurrence after surgery. We describe a 49-year-old woman with a painless tumor in the left ischiorectal fossa. It was a random finding in a routine computed tomography (CT) scan after resection of ear melanoma 3 years previously. Ultrasonography showed a solid mass, and further magnetic resonance imaging (MRI) suggested a rhabdomyosarcoma. Altogether, these findings indicated malignant disease. An uncomplicated simple excision of the tumor was done in the operating theatre. The mass measured 7×5×5 cm and the histopathological examination found that it was a cellular angiofibroma, a benign lesion. There were no postoperative complications. This case report highlights the need for multidisciplinary team management of rare tumors such as cellular angiofibromas.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7905177PMC
http://dx.doi.org/10.1016/j.crwh.2021.e00295DOI Listing

Publication Analysis

Top Keywords

ischiorectal fossa
8
case report
8
cellular angiofibroma
8
transperineal excision
4
excision sizeable
4
sizeable angiofibroma
4
angiofibroma ischiorectal
4
fossa case
4
report cellular
4
angiofibroma described
4

Similar Publications

This case report describes the approach and use of an ultrasound-guided pudendal nerve block in dogs. The technique was first performed in the cadaver of a 14 kg male castrated Miniature Australian Shepherd dog. The ultrasound probe was placed in transverse orientation on midline between the anus and ischiatic arch.

View Article and Find Full Text PDF
Article Synopsis
  • Abdominoperineal resection (APR) is a surgical procedure used to treat rectal cancer, especially when it invades the levator ani muscle, but it has lower success rates compared to other rectal surgeries due to complex anatomy and high chances of local recurrence.* -
  • A robotic perineal-first approach was used in a case study of a 46-year-old man with locally advanced rectal cancer, where the surgical process involved creating an incision around the anus, dissecting tissue around the levator ani muscle, and utilizing robotic technology for greater precision.* -
  • This technique has been successfully applied to 17 patients since 2019, demonstrating its potential benefits in achieving better surgical outcomes in the challenging
View Article and Find Full Text PDF

[A successful multidisciplinary approach to a recurrent ischiorectal fossa sarcoma].

Rev Med Chil

August 2023

Departamento de Cirugía Digestiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Ischiorectal fossa tumors are rare lesions, mostly described in case reports or case series. These lesions represent a diagnostic and therapeutic challenge. Hence, an appropriate preoperative study and multidisciplinary discussion are essential to achieve good oncologic and functional results.

View Article and Find Full Text PDF

This is a case of a woman in her 50s with HIV and uncontrolled diabetes who presented to the emergency department with urinary retention and a painful gluteal cleft lesion, admitted for cellulitis. Since initial CT and soft tissue ultrasound (US) were negative for fluid collection, the care team was surprised to find her symptoms continued to progress despite intravenous antibiotics. Finally, MRI 9 days into her admission demonstrated a 12-cm perirectal horseshoe abscess.

View Article and Find Full Text PDF

Ischiorectal Fossa Tumors: 30-year Single-Institution Experience.

Dis Colon Rectum

July 2024

Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Primary tumors of the ischiorectal fossa are rare and comprise a wide array of pathologies with varying malignant potential. Because of the low prevalence, there is a paucity of data in the literature. This article presents a case series on the management of ischiorectal fossa tumors.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!