Transvaginal sonographic features of perineal masses in the female lower urogenital tract: a retrospective study of 71 patients

Wang, X.; Ye, Hua; Zhang, H.; Shi, Tongguo; Ren, Weidong

doi:10.1002/uog.13251

Cited by 12 publications

(9 citation statements)

References 34 publications

(40 reference statements)

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“…Sonographically, AMFB has been reported to be well demarcated with inhomogeneous echogenicity and multiple hypoechoic areas within an echogenic stroma [ 12 ]. Wang and coworkers assessed 72 perineal tumors, two among which represented AMFB and were characterized as solid cystic masses on the basis of ultrasonography [ 13 ]. In contrast to these descriptions, we found the tumor in our patient to be of homogeneous, medium echogenicity without solid cystic features (see Additional file 1 ).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound plays a key role in imaging and management of genital angiomyofibroblastoma: a case report

Wolf¹,

Horn²,

Handzel³

et al. 2015

J Med Case Reports

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IntroductionAngiomyofibroblastoma is a benign, rare mesenchymal tumor arising from the genital tract of both men and women and was first described by Fletcher and colleagues in 1992. The tumor needs to be distinguished from other, similar lesions, such as deep and superficial aggressive angiomyxoma and cellular angiofibroma, because aggressive angiomyxoma demands much more extensive treatment. The vast majority of angiomyofibroblastomas arise from the vulva and appear as solid cystic masses on ultrasound images.Case presentationWe report a case of a 35-year-old Caucasian woman with an angiomyofibroblastoma arising from the vagina. She presented with a painless mass of about 5cm in diameter that had a rather homogeneous, hypoechoic appearance on ultrasound images. The patient underwent surgical resection of the mass, which was subsequently diagnosed as angiomyofibroblastoma. We present sonographic and magnetic resonance imaging findings, intraoperative and histologic images, and a thorough review of the literature.ConclusionsIn our opinion, ultrasonography is the most valuable tool to establish a preoperative diagnosis of this tumor entity, differentiate it from other lesions of the female genital tract, and plan surgery accordingly. Even though it is a rare tumor, gynecologists should be able to recognize it and to differentiate it from other tumor entities that demand more aggressive treatment. We describe a different sonographic appearance of this tumor than previously reported.Electronic supplementary materialThe online version of this article (doi:10.1186/s13256-015-0715-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Ultrasound plays a key role in imaging and management of genital angiomyofibroblastoma: a case report

Wolf¹,

Horn²,

Handzel³

et al. 2015

J Med Case Reports

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“…Sonographically, 2 AMFB cases were manifested as solid cystic masses in Wang et al’ study. [7] In contrast, the tumor appeared as a homogeneous, medium echogenicity mass with several vessels in Wolf et al's case report. [8] On CT imaging, AMFBs show as well-defined homogeneous intermediate intensity and moderate to strong enhancement after contrast administration.…”

Section: Discussionmentioning

confidence: 98%

Angiomyofibroblastoma of the mediastinum

Zhu

Su²,

Li³

2016

Medicine

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Introduction:Angiomyofibroblastoma (AMFB) is an extremely rare disease. It commonly occurs in middle-aged females and mainly involves the vulvovaginal region. Pathological examination plays an important role in differentiating from other tumors. But far less published literature focus on the imaging characteristics of AMFB.Clinical findings/diagnoses:We reported a case of AMFB in a 73-year-old male, involving the mediastinum with computed tomography (CT) imaging and pathologic findings. Preoperative unenhanced CT scan of chest revealed a 6.9 × 7.4 × 9.3 cm mass with equal density, located in the posterior mediastinum. On contrast-enhanced CT images, the tumor presented moderate, heterogeneous enhancement. Due to the unclear interface between the tumor and adjacent tissues, this patient underwent operative partial resection of the tumor. The pathologic diagnosis was AMFB.Conclusions:This tumor represents a further example of unusual location different from conventional AMFB. This case adds to the experience with AMFB by summarizing its characteristics, and also reviewing the literature.

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“…Ultrasound has been reported to be useful in assessing heterogeneity, vascularity, and delineating infiltration and relation to surrounding structures [7, 19]. …”

Section: Discussionmentioning

confidence: 99%

A Vaginal Angiomyofibroblastoma as a Rare Cause of a Prolapsing Vaginal Mass: A Case Report and Review of the Literature

Calvert

Kapurubandara

Nikam

et al. 2018

Case Reports in Obstetrics and Gynecology

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Introduction Angiomyofibroblastoma (AMFB) is a rare, benign, mesenchymal cell tumour which presents as a slow-growing mass. It is most commonly seen in the vulva and is often mistaken for Bartholin's abscess. It is histologically diagnosed by the presence of stromal cells intermingled with small blood vessels. It is morphologically similar to cellular angiofibroma and aggressive angiomyxoma, the latter of which is locally invasive and has a possibility of metastasis and a high risk of local recurrence. There is one reported case of an AMFB undergoing sarcomatous transformation. Case Report We report a case of a multiparous, 36-year-old woman with an anterior vaginal mass which was inappropriately treated as a vaginal prolapse prior to definitive surgical management. This is only the second reported case of an AMFB presenting as a prolapsing mass.

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Transvaginal sonographic features of perineal masses in the female lower urogenital tract: a retrospective study of 71 patients

Abstract: Objectives To assess the transvaginal ultrasonographic features of perineal masses in the lower urogenital tract in a cohort of 71 women.Methods Seventy-one women with perineal masses were referred consecutively for transvaginal ultrasonography.

Cited by 12 publications

References 34 publications

Ultrasound plays a key role in imaging and management of genital angiomyofibroblastoma: a case report

Ultrasound plays a key role in imaging and management of genital angiomyofibroblastoma: a case report

Angiomyofibroblastoma of the mediastinum

A Vaginal Angiomyofibroblastoma as a Rare Cause of a Prolapsing Vaginal Mass: A Case Report and Review of the Literature

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