PMC3425151_01
Clinical presentation
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F1
Local examination of the vulva revealed a 8 x 5 cms pedunculated growth [Figure 1] having its thick pedicle of about 1.5 cm thickness hanging from the clitoreal region slightly on the left side [Figure 2].
Growth coming out from the clitoreal region
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F2
Local examination of the vulva revealed a 8 x 5 cms pedunculated growth [Figure 1] having its thick pedicle of about 1.5 cm thickness hanging from the clitoreal region slightly on the left side [Figure 2].
After the repair
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F3
She was planned for wide excision of the vulval growth; accordingly it was done under SA on 18.08.05 [Figure 3].
Specimen cut open
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F4
On sectioning, the mass had focally infiltrating margins and a rubbery glistening grey/white surface [Figure 4].
HPE shows thin epidermis and underlying hypo cellular myxoid tissue containing blood vessels of various calibers
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F5
Post op HPE revealed Aggressive Angiomyxoma [Figures 5 and 6], cut margins negative.
High power view showing hyaline thickening of blood vessels
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F6
Post op HPE revealed Aggressive Angiomyxoma [Figures 5 and 6], cut margins negative.