GI Radiography


Case 25 :
A 35-year-old female presents with low-grade chronic pain in the lower abdomen. Following a USG, a CT scan was performed. What is the probable diagnosis?
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Imaging Findings:

Study shows a faintly enhancing iso dense mass lesion in the left vaginal vault. A small ipsilateral left ovarian cyst is noted.

Diagnosis

Post operative histopathological diagnosis:
Angiomyofibroblastoma

Discussion:

Aggressive angiomyxoma is a distinctive soft tissue tumor associated with a high risk of local recurrence but lacks metastatic potential. This tumour occurs nearly exclusively in the soft tissues of the pelvis and perineum of adult women. The line of differentiation is not firmly established, but a fibroblastic/myofibroblastic origin has been proposed.

Dr. Jude Vaz, Mumbai