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CORRESPONDENCE
Year : 2014  |  Volume : 10  |  Issue : 2  |  Page : 371-373

Aggressive angiomyxoma of greater omentum with pleural effusion in a young male


1 Department of Pulmonary Medicine, Burdwan Medical College and Hospital, Burdwan, India
2 Department of Pulmonary Medicine, NRS Medical College and Hospital, Shealdah, Kolkata, West Bengal, India
3 Department of General Surgery, NRS Medical College and Hospital, Shealdah, Kolkata, West Bengal, India

Correspondence Address:
Kaushik Saha
Department of Pulmonary Medicine, First Lane, P. O. - Nimta, Kolkata - 700 049, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.136661

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Aggressive angiomyxoma is a rare, locally aggressive, myxoid mesenchymal neoplasm, preferentially arising in the pelvic and perineal regions of young adult females. It may also occur in males, in the inguinoscrotal area. Here we report a case of a young male, who presented with a firm, diffuse, nontender swelling in the abdomen and right-sided pleural effusion. Contrast-enhanced computed tomography (CT) of the abdomen showed the presence of a large, cystic mass, almost filling the entire abdominal cavity. On laparotomy, a huge mass, approximately 25 cm × 20 cm × 4 cm in size, arising from the greater omentum, with increased vascularity, and occupying the entire abdomen, was excised. Histopathological examination along with immunohistochemistry established the diagnosis of an aggressive angiomyxoma. Here, we report the case of an aggressive angiomyxoma, originating from the greater omentum, in a young male, associated with right-sided pleural effusion.

Abstract in Chinese

1例年轻男性大网膜侵袭性血管肌瘤伴胸腔积液 摘要 侵袭性血管黏液瘤是一种罕见的局部侵袭性,黏液样间质肿瘤,好发于青年成年女性盆腔及会阴区。它也可能发生在男性阴囊区。本文报告一个年轻男性病例,他长了一个固定的,冗长的,无触痛的肿胀在腹部,并伴有右胸腔积液。CT显示腹部有一个巨大的,囊性肿块,几乎充满整个腹腔。剖腹探查发现一个约25厘米*20厘米*4厘米大小的肿块,,位于大网膜,血管分化良好,并占据整个腹腔,将其切除。组织病理学检查和免疫组化诊断为侵袭性血管黏液瘤。 关键词:侵袭性的,血管黏液瘤,大网膜,胸腔积液,年轻的男性



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