Case Report - Angiomyofibroblastoma

Abstract

Angiomyofibroblastoma is a rare benign mesenchymal tumor occurs in the vulvo-vaginal 
region of women. Rarely it occurs in scrotum and inguinal region in males. We report a case 
of 47 year old woman at our hospital with complaint of painless swelling over vulva which 
gradually enlarged over last 13 years. There is history of trauma 13 years back. No other 
complaints. Hysterectomised 27 years back for abnormal uterine bleeding. No other 
comorbidities. Local examination of vulva showed a well circumscribed swelling of size 4
cms x 3 cms with a peduncle over lower 1/3rd of left labia majora. Soft and elastic in 
consistency, no tenderness, no change in skin color or temperature over the swelling. No 
palpable inguinal lymph nodes. Surgical excision was done and specimen was sent for 
histopathological examination. HPE report showed spindle shaped cells arranged in 
alternating hyper and hypocellular areas with collagen fibrils admixed with adipocytes and 
thin walled blood vessels. No evidence of malignancy. Confirmed it as 
Angiomyofibroblastoma.