Deep Angiomyxoma of the Thigh That Is Difficult to Diagnose: A Case Report and Literature Review

Acta Med Okayama. 2021;75(5):653-657. doi: 10.18926/AMO/62780.

Abstract

We present an extremely rare case of deep angiomyxoma (DAM) in the thigh that was misdiagnosed as desmoid-type fibromatosis. A 40-year-old Japanese woman presented with a mass on the left thigh. The histological diagnosis by needle biopsy was desmoid-type fibromatosis; the tumor grew slowly and was resected 4 years later. The histological diagnosis from the resected tumor was DAM. As of 16 months post-surgery, the patient has not noticed any local recurrence. Although DAM in a lower extremity is extremely rare, clinicians must be aware of its possible occurrence in areas relatively close to the pelvis.

Keywords: deep angiomyxoma; desmoid-type fibromatosis; thigh.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Female
  • Humans
  • Meloxicam / therapeutic use
  • Myxoma / diagnosis*
  • Myxoma / pathology
  • Myxoma / surgery*
  • ortho-Aminobenzoates / therapeutic use

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • ortho-Aminobenzoates
  • tranilast
  • Meloxicam