Large-sized pedunculated and polypoidal angiomyofibroblastoma of the vulva: A case report and literature review

Rare Vulvar Angiomyofibroblastoma: Case Series and Literature Review

Background

Angiomyofibroblastoma (AMFB) is an uncommon disease with few literature reports, leading to the poor understanding of its diagnosis, treatment, and postoperative follow-up plans among gynecologists.

Objective

To study the clinical and pathological features of vulvar AMFB and discuss its treatment and prognosis.

Case Summary

The 3 cases were characterized by a gradually increasing painless mass in the vulva. Preoperative diagnosis was difficult and mainly depended on ultrasonic examination. Immunohistochemistry confirmed clear boundaries of AMFB. This condition could be completely cured by surgery, and the prognosis was good.

Conclusion

The vulvar AMFB is a rare tumor that is frequently misdiagnosed before surgery. Ultrasound is preferred in auxiliary diagnosis, and surgery remains the best treatment, and long-term follow-up is necessary to avoid recurrence or other complications.

Rare case of huge vulvar angiomyofibroblastoma in a young female

•

Huge angiomyofibroblastoma of the Vulva.

•

Differential diagnosis between vulvar angiomyofibroblastoma and vulvar aggressive angiomyxoma.

•

Comprehensive approach diagnosing and therapy of vulvar angiomyofibroblastoma.

Mesenchymal tumours of the vulva are rare and consist of two types, difficult to distinguish but with different prognoses. Angiomyofibroblastoma (AMFB) is a benign tumour, whereas Aggressive Angiomyxoma (AA) is an infiltrating tumour. We describe a 22-year-old nulliparous patient with a vulvar mass sized 19 cm in diameter. After preoperative assessment by ultrasound, chest X-ray, and MRI, wide excision on the tumour was done and diagnosed as AMFB. Differentiation from AA is being discussed.