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| ==Aggressive angiomyxoma== | | ==Aggressive angiomyxoma== |
| *[[AKA]] deep aggressive angiomyxoma. | | *[[AKA]] deep aggressive angiomyxoma. |
| ===General===
| | {{Main|Aggressive angiomyxoma}} |
| *Classically a [[vulva]]r mass or (less commonly) a [[scrotum|scrotal]] mass.
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| **Case report of a thigh lesion.<ref name=pmid18338163>{{Cite journal | last1 = Heffernan | first1 = EJ. | last2 = Hayes | first2 = MM. | last3 = Alkubaidan | first3 = FO. | last4 = Clarkson | first4 = PW. | last5 = Munk | first5 = PL. | title = Aggressive angiomyxoma of the thigh. | journal = Skeletal Radiol | volume = 37 | issue = 7 | pages = 673-8 | month = Jul | year = 2008 | doi = 10.1007/s00256-008-0465-0 | PMID = 18338163 }}</ref>
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| *Benign - no metastatic potential.
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| *"Aggressive" as it has a high recurrance.
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| ===Gross===
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| *Poorly circumscribed.
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| *"Rubbery" or "gelatinous".
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| Location:
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| *[[Vulva]] - classic location.
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| Clinical DDx:
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| *[[Bartholin cyst]].
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| ===Microscopic===
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| Features:<ref name=Ref_WMSP624>{{Ref WMSP|624}}</ref>
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| #Thick blood vessels that meld into the surrounding stroma - '''key feature'''.
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| #[[Myxoid stroma]] - '''key feature'''.
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| #Small stellate cell/spindle cells without significant nuclear atypia.
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| DDx:
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| *[[Angiomyofibroblastoma]].<ref name=pmid1314521>{{Cite journal | last1 = Fletcher | first1 = CD. | last2 = Tsang | first2 = WY. | last3 = Fisher | first3 = C. | last4 = Lee | first4 = KC. | last5 = Chan | first5 = JK. | title = Angiomyofibroblastoma of the vulva. A benign neoplasm distinct from aggressive angiomyxoma. | journal = Am J Surg Pathol | volume = 16 | issue = 4 | pages = 373-82 | month = Apr | year = 1992 | doi = | PMID = 1314521 }}</ref>
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| *[[Neurofibroma]].
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| *[[Myxoma]].
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| ====Images====
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| <gallery>
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| Image:Aggressive_angiomyxoma_-_intermed_mag.jpg | Aggressive angiomyxoma - intermed. mag. (WC/Nephron)
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| Image:Aggressive_angiomyxoma_-_very_high_mag.jpg | Aggressive angiomyxoma - very high mag. (WC/Nephron)
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| </gallery>
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| www:
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| *[http://www.webpathology.com/image.asp?n=1&Case=99 Aggressive angiomyxoma - low mag. (webpathology.com)].
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| *[http://www.webpathology.com/image.asp?case=99&n=2 Aggressive angiomyxoma - high mag. (webpathology.com)].
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| *[http://path.upmc.edu/cases/case538.html Aggressive angiomyxoma - several images (upmc.edu)].
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| ===IHC===
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| Features:<ref name=Ref_WMSP624>{{Ref WMSP|624}}</ref>
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| *Desmin +ve.
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| *Vimentin +ve.
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| *ER +ve.
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| *PR +ve.
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| ==Angiomyofibroblastoma== | | ==Angiomyofibroblastoma== |