Aggressive angiomyxoma is a mesenchymal tumor that
is frequently found in women of reproductive age mostly
appearing in the vulva, perineal region, head, neck,
trunk, and lower limbs. A 33-year-old multiparous
Somali woman presented to the outpatient department of
Dr Sumait Hospital, with a complaint of swelling around
her vulva. The patient reported that the mass had
progressively grown for the past 8 years and that she
experienced stigma from her previous spouses. Her past
medical history and socioeconomic status were
unremarkable. During the physical examination, a welldefined pedunculated mass measuring 14 cm × 8 cm,
originating from the labia majora, was noted. The mass
was pinkish, non-tender, non-reducible, and had a soft
consistency. Some areas of ulceration measuring 2 cm ×
2 cm, covered with necrotic granulation tissues, were
also noticed. With the patient’s written informed
consent, a biopsy was performed, and the histopathology
results revealed aggressive angiomyxoma. Following
confirmation of the diagnosis, the mass was surgically
excised under sterile conditions and spinal anesthesia.
Aggressive angiomyxoma is an important consideration
when evaluating vulvovaginal growth in females. Given
its tendency for local recurrences, it is vital to establish
an accurate diagnosis.