Diffuse Aggressive Angiomyxoma of the Vulva: A Case Report

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