Vaginal Cellular Angiofibroma with Heavy Bleeding: A Case Report
2020
Cellular angiofibroma is a rare mesenchymal tumor that most commonly
presents as an asymptomatic well-circumscribed mass in the vulva. Very few
cases have been found in the vagina and even fewer presented with vaginal
bleeding. A 54-year-old female presented to the emergency department with five
months of vaginal bleeding and symptomatic anemia requiring blood transfusion.
Upon physical examination, she was found to have a firm 4 cm
posterior vaginal mass, distinctly distal to the cervix. The mass was resected
and diagnosed as a vaginal cellular angiofibroma on pathologic evaluation. The
patient did well post-operatively with recommended follow-up every six months. The common
differential diagnosis for a bleeding vaginal mass includes leiomyoma,
angiofibroblastoma, aggressive angiomyxoma, squamous cell carcinoma, and
adenocarcinoma. In this case, cellular angiofibroma presented as a vaginal mass
with heavy bleeding leading to severe anemia. Early involvement of gynecologic
oncology can help to optimize patients’ evaluation and management.
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