Aggressive Angiomyxoma as a Rare Differential Diagnosis of Enlargement of the Scrotum
Aggressive Angiomyxoma as a Rare Differential Diagnosis of Enlargement of the Scrotum
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DOI：
10.1016/j.clgc.2015.12.022
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发表时间：
2016-04-01
影响因子：
3.2
通讯作者：
Hakenberg, Oliver W.
中科院分区：
文献类型：
--
作者：
Draeger, Desiree L.;Protzel, Chris;Hakenberg, Oliver W.
侵袭性血管粘液瘤（AAM）几乎只发生在成年女性中。文献调查显示男性仅有45例该病。确切的发病机制尚不清楚。男性主要累及阴囊、精索、会阴、盆腔器官和膀胱。治疗选择是完全手术切除，因为手术切除不完全容易复发。所有复发的50%发生在前5年内，其中70%发生在前3年内。由于复发率高，长期治疗可能会导致复发。必须采用影像学技术进行随访。尽管 AAM 很罕见，但它是异常和进行性阴囊肿胀的鉴别诊断。 (C) 2016 Elsevier Inc. 保留所有权利。
Aggressive angiomyxoma (AAM) occurs almost exclusively in adult women. A literature survey revealed only 45 cases of this disease in men.The exact pathogenesis is not known.In men, the scrotum, spermatic cord, perineum, pelvic organs, and bladder are predominantly affected.The treatment of choice is complete surgical resection, because relapse is common with incomplete surgical excision.Fifty percent of all recurrences occur within the first 5 years, with 70% of those within the first 3 years.Because of the high recurrence rate, long-term follow-up with imaging techniques is obligatory.Despite its rarity, AAM is a differential diagnosis of unusual and progressive scrotal swelling. (C) 2016 Elsevier Inc. All rights reserved.