AGGRESSIVE ANGIOMYXOMA OF THE VULVA WITH AN UNUSUAL VASCULAR FINDING

We report the first documented Malaysian case of aggressive angiomyxom a (AAM) of the vulva. A 56-yr-old woman of Indian ethnic origin presen ted with a vulval lesion which was clinically mistaken for a Bartholin 's cyst. The lesion was surgically excised and a diagnosis of AAM was made histologically. Of particular interest was the finding of foamy a nd mononuclear inflammatory cells and fibrin in the wails of most of t he lesional blood vessels. The patient recovered uneventfully and rema ins without tumor recurrence at the time of writing 37 mths after init ial presentation.