RESUMO
Angiomyxoma is a rare but aggressive mesenchymal tumor. It commonly develops in the pelvis, perineum and groin and is more common in females. Angiomyxoma characteristically has a high incidence of local recurrence. The only treatment of recurrence is surgical re-excision. We report a case of recurrent aggressive angiomyxoma, which was only incompletely resected.
Assuntos
Mixoma/cirurgia , Neoplasias Pélvicas/cirurgia , Períneo , Adulto , Fatores Etários , Idoso , Criança , Feminino , Seguimentos , Humanos , Incidência , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Mixoma/diagnóstico , Mixoma/epidemiologia , Mixoma/patologia , Invasividade Neoplásica , Recidiva Local de Neoplasia , Neoplasias Pélvicas/diagnóstico , Neoplasias Pélvicas/epidemiologia , Neoplasias Pélvicas/patologia , Fatores Sexuais , Fatores de TempoRESUMO
INTRODUCTION: Hyperprolactinemia and a pituitary mass syndrome can occur in patient with primary hypoyhroidism. In young women, hypothyroidism can be associated with ovarian cysts. EXEGESIS: We report a case of a 30 year-old women who was treated for an anemia. She had clinical and biological signs of primary hypothyroidism with hyperprolactinemia at the biology. Pituitary MRI showed a pituitary mass. The pelvic ultrasound examination and CT scan showed a right ovarian cyst. The subsequent thyroid hormone replacement was associated with a clinical, a biological and radiological resolution. It was a pituitary and ovarian mass syndrome secondary to primary hypothyroidism. CONCLUSION: The recognition of these associations may eliminate unnecessary surgery and lead to the choice of hormone replacement therapy.