Management of Scrotal Aggressive Angiomyxoma: A Case Report

Aggressive Angiomyxoma is most commonly identified as a slow growing mesenchymal neoplasm most commonly seen in women than in men. It has a marked tendency for local recurrence but with low instances of metastasis. Radiological investigations may assist in arriving at a provisional diagnosis and provide an arbitrary idea about the margins of the tumour but the gold standard diagnosis is always be histopathological examination. Surgery is the first line and the most reliable form of treatment. However, around 40-70% of patients came with complaints of recurrence. This is a case of a 61-year-old male patient who came with complaints of scrotal swelling which increased in size over a period of six months. The swelling was firm in consistency without warmth or tenderness. Contrast-enhanced Magnetic Resonance Imaging (CE-MRI) was taken to discern the borders of the mass and it was suspected to be a soft tissue sarcoma. Mass was excised in toto and a confirmatory diagnosis of aggressive angiomyxoma was made only after postoperative histopathological examination. The patient was on regular follow-up for 8 months to date and no evidence of local recurrence was detected. This case report presents to be a curious case as aggressive angiomyxomas are usually tumours seen in females. It also describes the management of scrotal swelling without a preoperative diagnosis.