Abstract

Angiomyofibroblastoma (AMFB) is a rare benign subcutaneous mesenchymal lesion. AMFB is mostly described in the vulvovaginal region with occasional cases reported in other female urogenital tract sites in women of reproductive age and early menopause, and in the male inguinoscrotal region. AMFB can clinically be misdiagnosed for Bartholin’s gland cyst or lipoma. A. 44-year-old female patient admitted firstly in December 2016 to gynecologic oncology department of Akdeniz University Medical Faculty. She had complaints of pelvic pain for the previous 8 months. A palpable, nontender solid mass lesion protruding to the left lateral wall of the vagina was observed. Bimanual examination detected a mobile mass measuring 8 x 7 cm in the retrorectal region, communicating with vagina. The patient was operated in January 2017 in collaboration with department of general surgery. Her postoperative period was uneventful, and she was discharged and future control visit was arrange. Surgical specimen appeared as an opalescent-white solid mass measuring 7 x 6 cm.Its microscopic examination revealed a well-circumscribed lesion containing spindle, and epitheloid cells. Based on histological findings, the diagnosis of angiomyofibroblastoma was made. Close postoperative follow-up was decided for the patient. Postoperative 7. month gynecologic controls of the patient did not reveal any pathologic finding. In summary, AMFB of the retrorectal region is extremely rare and is diagnostically challenging. Because of the benign behavior of AMFB with rare local recurrence, excluding other neoplasms and making the accurate diagnosis based on histological features is important.