Objective: To describe a case of aggressive scrotal angiomyxoma in a 55-year old man.
Methods: Ultrasound examination revealed a tumor on the scrotum. Surgical resection and histopathological study of the tumor was performed. The literature is briefly reviewed.
Results: Pathological analysis disclosed spindle-shaped neoplastic cells widely separated by a myxoid stroma rich in collagen fibers and prominent irregular-shaped blood vessels. Immunohistochemically, the stromal cells stained consistently for vimentin but not for desmin or S-100 protein. The patient had no symptom or signs of systemic disease and remains symptom-free 15 months later.
Conclusions: Aggressive angiomyxoma is a rare condition that can be successfully treated surgically and has a great tendency to local recurrence.
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