ABSTRACT
Angiomyxoma is a rare but aggressive mesenchymal tumor. It commonly develops in the pelvis, perineum and groin and is more common in females. Angiomyxoma characteristically has a high incidence of local recurrence. The only treatment of recurrence is surgical re-excision. We report a case of recurrent aggressive angiomyxoma, which was only incompletely resected.
Subject(s)
Myxoma/surgery , Pelvic Neoplasms/surgery , Perineum , Adult , Age Factors , Aged , Child , Female , Follow-Up Studies , Humans , Incidence , Magnetic Resonance Imaging , Male , Middle Aged , Myxoma/diagnosis , Myxoma/epidemiology , Myxoma/pathology , Neoplasm Invasiveness , Neoplasm Recurrence, Local , Pelvic Neoplasms/diagnosis , Pelvic Neoplasms/epidemiology , Pelvic Neoplasms/pathology , Sex Factors , Time FactorsABSTRACT
INTRODUCTION: Hyperprolactinemia and a pituitary mass syndrome can occur in patient with primary hypoyhroidism. In young women, hypothyroidism can be associated with ovarian cysts. EXEGESIS: We report a case of a 30 year-old women who was treated for an anemia. She had clinical and biological signs of primary hypothyroidism with hyperprolactinemia at the biology. Pituitary MRI showed a pituitary mass. The pelvic ultrasound examination and CT scan showed a right ovarian cyst. The subsequent thyroid hormone replacement was associated with a clinical, a biological and radiological resolution. It was a pituitary and ovarian mass syndrome secondary to primary hypothyroidism. CONCLUSION: The recognition of these associations may eliminate unnecessary surgery and lead to the choice of hormone replacement therapy.
