A wrong diagnosis of recurrent perineal hernia
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(2) 0199 8 A wrong_Caricato:-. 14-04-2011. 15:50. Pagina 271. Fig. 2 - Pelvic tumor hyperintense in T2-weighted images with a swirled internal structure and presenting non-homogeneous enhancement.. Fig. 3 - Perineal approach.. weighted images with swirled internal structure. Local relapse is frequent (33-83%) and two cases of distant metastasis have been reported (2). Histology demonstrates immunohistochemical positivity for desmin, vimentin, SMA, estrogen and progesterone receptors. Therapy is based on surgical resection, and the role of complementary treatment is not well defined. Furthermore, as radical excision does not significatively reduce the risk of local relapse, many authors suggest nonmutilating surgery to reduce postoperative complications (3).. rn. age requiring ureteral stent, and neurologic bladder treated with rehabilitation.. az io na li. A wrong diagnosis of recurrent perineal hernia. te. Discussion. iz. References. io. ni. In. Aggressive angiomyxoma is a rare soft-tissue neoplasm that predominantly occurs in premenopausal women, often reaching huge sizes. Presentation as inguinal or pelvic floor hernia has been reported, and failure to make a correct preoperative diagnosis is common (1). At MRI, AAM shows high signal intensity on T2-. Am J Roentgenol 1999; 172(2):435-8. 3. Han-Geurts IJ, van Geel AN, van Doorn L, M den Bakker, Eggermont AM, Verhoef C. Aggressive angiomyxoma: multimodality treatments can avoid mutilating surgery. Eur J Surg Oncol. 2006 Dec;32(10):1217-21.. ©. C. IC. Ed. 1. Amezcua CA, Begley SJ, Mata N, Felix JC, Ballard CA. Aggressive angiomyxoma of the female genital tract: a clinicopathologic and immunohistochemical study of 12 cases. Int J Gynecol Cancer 2005, 15, 140-145. 2. Outwarter EK, Marchetto BE, Wagner BJ, Siegelman ES. Aggressive angiomyxoma: findings on CT and MR imaging. AJR. 271.
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