LARGE AGGRESSIVE ANGIOMYXOMA OF THE PERINEUM AND PELVIS - AN ALTERNATIVE APPROACH - REPORT OF A CASE

Aggressive angiomyxomas are rare soft tissue tumors found mainly in th e female reproductive mesenchyme and pelvis. They are low-grade sarcom as that have a propensity to recur locally. These tumors are encapsula ted and have the same consistency as normal connective tissue, thus ma king wide excision difficult. We report a case of a large aggressive a ngiomyxoma in the perirectal tissues treated with preoperative angiogr aphic embolization, causing ischemia of the tumor and, thus, improved visualization of the lesion. In addition, preoperative external beam i rradiation and intraoperative electron beam radiotherapy were used to decrease the chances of local recurrence.