| Autor: |
Cicogna S; Institute for Maternal and Child Health-IRCCS 'Burlo Garofolo', 34145 Trieste, Italy., Dellino M; Department of Interdisciplinary Medicine (DIM), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70124 Bari, Italy., Miano ST; Complex Operating Unit of Oncology, Azienda Ospedaliera Universitaria Senese, 53100 Siena, Italy., Magazzino F; Complex Operating Unit Ginecologia E Ostetricia, Ospedale Civile Di San Dona' Di Piave (Venezia), Aulss4 Veneto Orientale, 30027 San Donà di Piave, Italy., Domenici L; Division of Obstetrics and Gynecology, Azienda Ospedaliera Universitaria Pisana, University of Pisa, 56126 Pisa, Italy., Pignata S; Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS 'Fondazione G Pascale', 80144 Napoli, Italy., Mangili G; Obstetrics and Gynecology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy., Cormio G; Department of Interdisciplinary Medicine (DIM), University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70124 Bari, Italy.; Gynecologic Oncology, IRCCS Istituto Tumori 'Giovanni Paolo II', 7012 Bari, Italy. |
| Abstrakt: |
Deep (aggressive) angiomyxoma of the lower genital tract is a rare malignancy affecting women of reproductive age. Being a hormone-sensitive tumor, its growth is particularly benefitted during pregnancy. Surgical excision with complete resection is indicated, even if a wait-and-see approach can be considered until delivery, to avoid destructive surgeries. The mode of delivery is to be evaluated based on the location and size of the neoplasm; vaginal delivery is not contraindicated, as long as the tumor does not obstruct the birth canal. Positive surgical margins are the most important prognostic factor for recurrence. Adjuvant therapy with gonadotropin-releasing hormone analogues may be proposed after pregnancy, in the case of non-radical surgery. Despite the high local relapse rate, the outcomes for mother and child are favorable. Since recurrences can occur after many years, the patient should be included in long-term follow-up. |
