Angiomyofibroblastoma Arising From The Pouch of Douglas: A Rare Case Report (16 Bold)

Introduction: Angiomyofibroblastoma (AMF) is a rare soft-tissue tumor that most frequently affects the lower genital tracts of young to middle-aged women. These tumors commonly involve the vulva, perineum, vagina, uterine cervix but only rarely occur in the pelvis or retroperitoneum and rarely the inguinoscrotal regions of men. No case till date reported of AMF that originated from POD. To our knowledge, only FIVE cases of pelvic AMF have been reported at least so far. Case Report: A 44 years old woman presented with intermittent dysuria & UTI since 1 year. Her medical history was unremarkable. Her menstrual cycle was regular, painless, not have dysmenorrhoea or menorrhagia. A physical examination didn’ t ravel abnormalities. CT & MRI suggest soft tissue tumor between uterus & rectum. She was operated & HPR leads diagnosis of AMF of POD. Conclusion: AMF of POD is extremely rare but is benign. a recognition of this entity is important to avoid misdiagnosis of other angiomyxoid neoplasms,leiomyoma. Preoperative diagnosis & differentiation of AMF from other soft tissue tumor are challenging. The combination of radiological data, & histological and IHC findings can confirm the diagnosis. It is important to identity this entity so that the patient can be saved from unnecessary follow up and intervention post excision.