TITLE:
Vaginal Cellular Angiofibroma with Heavy Bleeding: A Case Report
AUTHORS:
Anh Q. Nguyen, Cassandra L. Presti, Graham Nelsen, Francine McLeod
KEYWORDS:
Vaginal Cellular Angiofibroma, Vaginal Tumor, Vaginal Bleeding
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.11,
November
27,
2020
ABSTRACT: 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.