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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Angiomyxoma diagnosed in a man presenting for abdominal lipectomy</title><author><name sortKey="Andres, Lewis A" sort="Andres, Lewis A" uniqKey="Andres L" first="Lewis A" last="Andres">Lewis A. Andres</name></author><author><name sortKey="Mishra, Mithilesh J" sort="Mishra, Mithilesh J" uniqKey="Mishra M" first="Mithilesh J" last="Mishra">Mithilesh J. Mishra</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19554150</idno><idno type="pmc">2687501</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687501</idno><idno type="RBID">PMC:2687501</idno><date when="2007">2007</date><idno type="wicri:Area/Pmc/Corpus">004B98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004B98</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Angiomyxoma diagnosed in a man presenting for abdominal lipectomy</title><author><name sortKey="Andres, Lewis A" sort="Andres, Lewis A" uniqKey="Andres L" first="Lewis A" last="Andres">Lewis A. Andres</name></author><author><name sortKey="Mishra, Mithilesh J" sort="Mishra, Mithilesh J" uniqKey="Mishra M" first="Mithilesh J" last="Mishra">Mithilesh J. Mishra</name></author></analytic><series><title level="j">The Canadian Journal of Plastic Surgery</title><idno type="ISSN">1195-2199</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Aggressive angiomyxoma is a rare tumour that is locally infiltrative but nonmetastasizing. It occurs nearly exclusively in adult women of childbearing age and almost always arises in the perineum and pelvic area. A case of angiomyxoma occurring in a middle-aged, morbidly obese man is reported. The clinical presentation was one of progressing scrotal edema and enlargement with subsequent development of scrotal abscesses, requiring several incisions and drainages as well as oral and intravenous antibiotics. His symptoms and body habitus left him in a significantly debilitated state, prompting him to seek treatment for his conditions. He initially presented for abdominal lipectomy. However, due to the chronic scrotal infections and enlargement, scrotectomy was recommended before any other surgical procedures. A scrotectomy was performed by the urology service. Pathological diagnosis of the excised tumour was an aggressive angiomyxoma. Given the rarity of this tumour, especially in males, the proper diagnosis and treatment of angiomyxoma is still being investigated. With this in mind, the physical signs and symptoms that characterize this condition are presented and treatment options are reviewed.</p></div></front></TEI><pmc xml:lang="EN" article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can J Plast Surg</journal-id><journal-id journal-id-type="publisher-id">PGI</journal-id><journal-title>The Canadian Journal of Plastic Surgery</journal-title><issn pub-type="ppub">1195-2199</issn><publisher><publisher-name>Pulsus Group Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19554150</article-id><article-id pub-id-type="pmc">2687501</article-id><article-id pub-id-type="publisher-id">cjps15163</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Angiomyxoma diagnosed in a man presenting for abdominal lipectomy</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Andres</surname><given-names>Lewis A</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Mishra</surname><given-names>Mithilesh J</given-names></name><degrees>MD</degrees><xref ref-type="corresp" rid="c1-cjps15163"></xref></contrib><aff id="af1-cjps15163">Grand Rapids/Michigan State University Plastic & Reconstructive Surgery Residency Program; Grand Rapids Medical Education & Research Center; Spectrum Health, Grand Rapids, Michigan, USA</aff></contrib-group><author-notes><corresp id="c1-cjps15163">Correspondence: Dr Mithilesh Mishra, 1400 Michigan Street Northeast, Grand Rapids, Michigan 49503, USA. Telephone 616-454-5878, fax 616-454-4030, e-mail
<email>mmithilesh@hotmail.com</email>,
<email>mishra1@msu.edu</email>,
<email>mishra.md@sbcglobal.net</email></corresp></author-notes><pub-date pub-type="ppub"><season>Autumn</season><year>2007</year></pub-date><volume>15</volume><issue>3</issue><fpage>163</fpage><lpage>164</lpage><copyright-statement>© 2007, Pulsus Group Inc. All rights reserved</copyright-statement><copyright-year>2007</copyright-year><abstract><p>Aggressive angiomyxoma is a rare tumour that is locally infiltrative but nonmetastasizing. It occurs nearly exclusively in adult women of childbearing age and almost always arises in the perineum and pelvic area. A case of angiomyxoma occurring in a middle-aged, morbidly obese man is reported. The clinical presentation was one of progressing scrotal edema and enlargement with subsequent development of scrotal abscesses, requiring several incisions and drainages as well as oral and intravenous antibiotics. His symptoms and body habitus left him in a significantly debilitated state, prompting him to seek treatment for his conditions. He initially presented for abdominal lipectomy. However, due to the chronic scrotal infections and enlargement, scrotectomy was recommended before any other surgical procedures. A scrotectomy was performed by the urology service. Pathological diagnosis of the excised tumour was an aggressive angiomyxoma. Given the rarity of this tumour, especially in males, the proper diagnosis and treatment of angiomyxoma is still being investigated. With this in mind, the physical signs and symptoms that characterize this condition are presented and treatment options are reviewed.</p></abstract><trans-abstract xml:lang="FR"><p>L’angiomyxome agressif est une tumeur rare caractérisée par une infiltration locale sans métastases. Il s’observe presque exclusivement chez des femmes adultes fertiles et se manifeste presque toujours au niveau du périnée et de la région pelvienne. On décrit ici un cas d’angiomyxome chez un homme d’âge moyen atteint d’obésité morbide. Le tableau cli-nique en est un d’œdème et d’hypertrophie progressifs du scrotum avec abcès scrotaux subséquents nécessitant plusieurs incisions et drainages, de même que des antibiothérapies orales et intraveineuses. Sa symptomatologie et sa morphologie problématiques ont amené le patient à consulter. Au départ, il souhaitait subir une lipectomie abdominale. Par contre, en raison de ses infections et hypertrophies scrotales chroniques, une scro-tectomie a été recommandée avant toute autre intervention chirurgicale. La scrotectomie a été réalisée par le service d’urologie. Le diagnostic anatomopathologique de la tumeur excisée a été un angiomyxome agres-sif. Compte tenu de la rareté de cette tumeur, surtout chez les hommes, le diagnostic et le traitement adéquats sont encore à déterminer. Cela dit, les signes et symptômes physiques caractéristiques de cette maladie sont présentés de même que les options thérapeutiques envisageables.</p></trans-abstract><kwd-group><kwd>Aggressive</kwd><kwd>Angiomyxoma</kwd><kwd>Male</kwd></kwd-group></article-meta></front><floats-wrap><fig id="f1-cjps15163" position="float"><label>Figure 1)</label><caption><p>Preoperative appearance of a 47-year-old man with scrotal angiomyxoma</p></caption><graphic xlink:href="cjps151631"></graphic></fig><fig id="f2-cjps15163" position="float"><label>Figure 2)</label><caption><p>Postoperative appearance after resection of the scrotal angiomyxoma</p></caption><graphic xlink:href="cjps151632"></graphic></fig></floats-wrap></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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