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.

Description