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Angiomyxoma of the pelvis in women. Clinical cases

https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.234

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Abstract

Aggressive pelvic angiomyxoma belongs to one of the rare types of mesenchymal pelvic tumors found in premenopause patients. Currently, this pathology is mainly treated via surgical intervention. Alternatively, it may also be managed by using radiation or hormone therapy. The final diagnosis is usually established by histological examination of removed tumor, because biopsy analysis during examination may not always provide a high diagnostic value. This tumor type is able to relapse, even after 100 % surgically removed intervention. Immunohistochemistry examination reveals expression of progesterone and estrogen receptors. One of the hormone therapy options with good long-term effect is based on using gonadotropin-releasing hormone drugs. Taking into consideration slow tumor growth and hormonal sensitivity, one of the options for managing disease relapse is patient follow-up, especially in perimenopausal subjects. Single clinical cases have been published related to pelvic angiomyxoma so that it results in introducing individualized management for every certain patient, but unified therapeutic approaches have not been developed yet.

About the Authors

E. V. Slukhanchuk
Petrovsky National Research Centre of Surgery; Sechenov University
Russian Federation

Ekaterina V. Slukhanchuk – MD, PhD, Obstetrician-Gynecologist, Department of Abdominal Surgery and Oncology 2, Petrovsky National Research Centre of Surgery; Associate Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health, Sechenov University

2 Abrikosovskiy Lane, Moscow 119991,

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



A. G. Tyan
Petrovsky National Research Centre of Surgery
Russian Federation

Anatoly G. Tyan – MD, PhD, Chief Physician

2 Abrikosovskiy Lane, Moscow 119991



A. L. Bedzhanyan
Petrovsky National Research Centre of Surgery; Sechenov University
Russian Federation

Arkady L. Bedzhanyan – MD, Dr Sci Med, Head of the Department оf Abdominal Surgery and Oncology 2, Petrovsky National Research Centre of Surgery; Associate Professor, Department of Hospital Surgery, Sechenov University

2 Abrikosovskiy Lane, Moscow 119991,

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



L. M. Nechitaylo
Petrovsky National Research Centre of Surgery
Russian Federation

Lidia M. Nechitaylo – MD, Obstetrician-Gynecologist

2 Abrikosovskiy Lane, Moscow 119991,



O. V. Dolzhanskiy
Petrovsky National Research Centre of Surgery
Russian Federation

Oleg V. Dolzhanskiy – MD, Dr Sci Med, Head of the Department of Pathological Anatomy

2 Abrikosovskiy Lane, Moscow 119991,



T. N. Galyan
Petrovsky National Research Centre of Surgery
Russian Federation

Tatiana N. Galyan – MD, PhD, Physician, Department of Radiation Diagnostics and Computed Tomography

2 Abrikosovskiy Lane, Moscow 119991,



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For citation:


Slukhanchuk E.V., Tyan A.G., Bedzhanyan A.L., Nechitaylo L.M., Dolzhanskiy O.V., Galyan T.N. Angiomyxoma of the pelvis in women. Clinical cases. Obstetrics, Gynecology and Reproduction. 2021;15(5):617-626. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.234

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)