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ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
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Vulvoperineal Angiomyofibroblastoma in A Postmenopausal Woman: A Case Report

Authors: Raymundo Dankelly Rodríguez Velázquez; Roberto Ignacio Montiel Mora; Alfredo Eduardo Santamaría Martínez; Mariana Puerto Reyes; Jacqueline Rocha Ortiz; Jesús Gonzalo Tuz Pat; Nicole Kirsty Ritchie;

Vulvoperineal Angiomyofibroblastoma in A Postmenopausal Woman: A Case Report

Abstract

Introduction: Angiomyofibroblastoma is a rare benign mesenchymal neoplasm of the lower genital tract, described mainly in women of reproductive age. Its nonspecific clinical presentation and its similarity to other benign or locally aggressive vulvar lesions, such as aggressive angiomyxoma, may complicate the initial diagnosis. Early recognition of this entity is essential to avoid unnecessarily aggressive surgical treatments and to ensure appropriate management. Case Report: We present the case of a 51-year-old woman who attended a gynecological consultation due to a vulvar foreign-body sensation of approximately one year of evolution, characterized by slow growth and absence of pain. Physical examination revealed a well-circumscribed mass located in the right labium majus, near the urethral meatus, without signs of inflammation or inguinal lymphadenopathy. Soft-tissue ultrasound showed a well-defined hypoechoic mass without significant Doppler flow. Surgical management was performed through complete excision of the lesion with primary closure, without complications. Histopathological examination revealed a well-circumscribed tumor composed of alternating hypercellular and hypocellular areas, abundant capillary vascularity, and minimal mitotic activity. Immunohistochemical analysis showed positivity for vimentin and hormone receptors, confirming the diagnosis of angiomyofibroblastoma. Surgical margins were negative. The postoperative course was favorable, and no recurrence was documented during clinical and imaging follow-up. Conclusion: Vulvar angiomyofibroblastoma is a rare entity that should be considered in the differential diagnosis of vulvar masses. Definitive diagnosis is established through histopathological evaluation, and complete surgical excision represents a curative treatment with an excellent prognosis.

Keywords

Angiomyofibroblastoma; Vulva; Mesenchymal tumors; Vulvar mass; Benign tumors; Benign soft tissue neoplasm.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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