Angiomyxoma diagnosed in a man presenting for abdominal lipectomy
Angiomyxoma diagnosed in a man presenting for abdominal lipectomy
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一名接受腹部脂肪切除术的男子诊断出血管粘液瘤
DOI：
10.1177/229255030701500301
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发表时间：
2007
期刊：
影响因子：
0.7
通讯作者：
M. Mishra
中科院分区：
文献类型：
--
作者：
L. A. Andres;M. Mishra
侵袭性血管粘液瘤是一种罕见的局部浸润性但非转移性肿瘤。它几乎只发生在育龄成年女性中，并且几乎总是发生在会阴和骨盆区域。据报道，一名病态肥胖的中年男性患有血管粘液瘤。临床表现之一是进行性阴囊水肿和肿大，随后发展为阴囊脓肿，需要多次切口和引流以及口服和静脉注射抗生素。他的症状和身体习惯使他处于明显虚弱的状态，促使他寻求治疗。他最初提出进行腹部脂肪切除术。然而，由于慢性阴囊感染和肿大，建议在任何其他手术之前进行阴囊切除术。泌尿外科进行了阴囊切除术。切除肿瘤的病理诊断为侵袭性血管粘液瘤。鉴于这种肿瘤的罕见性，尤其是男性，血管粘液瘤的正确诊断和治疗仍在研究中。考虑到这一点，提出了表征这种情况的身体体征和症状，并审查了治疗方案。
Aggressive angiomyxoma is a rare tumour that is locally infiltrative but nonmetastasizing. It occurs nearly exclusively in adult women of childbearing age and almost always arises in the perineum and pelvic area. A case of angiomyxoma occurring in a middle-aged, morbidly obese man is reported. The clinical presentation was one of progressing scrotal edema and enlargement with subsequent development of scrotal abscesses, requiring several incisions and drainages as well as oral and intravenous antibiotics. His symptoms and body habitus left him in a significantly debilitated state, prompting him to seek treatment for his conditions. He initially presented for abdominal lipectomy. However, due to the chronic scrotal infections and enlargement, scrotectomy was recommended before any other surgical procedures. A scrotectomy was performed by the urology service. Pathological diagnosis of the excised tumour was an aggressive angiomyxoma. Given the rarity of this tumour, especially in males, the proper diagnosis and treatment of angiomyxoma is still being investigated. With this in mind, the physical signs and symptoms that characterize this condition are presented and treatment options are reviewed.