Pathology: deep (aggressive) angiomyxoma

Deep (aggressive) angiomyxoma

  • Hypocellular; spindle-stellate cells in loose fascicles

  • Eosinophilic cytoplasm with delicate tapering processes

  • Monomorphic ovoid nuclei; inconspicuous mitotic activity

  • Abundant myxoid stroma; wispy collagen fibres, particularly around vessels; ectatic small-medium vessels with occasional thickened walls

Deep (aggressive) angiomyxoma

  • Mild cellularity; spindle-stellate cells in loose fascicles

  • Eosinophilic cytoplasm with delicate tapering processes

  • Monomorphic ovoid nuclei; inconspicuous mitotic activity

  • Abundant myxoid stroma; ectatic medium vessels; occasional "myoid bundles" surrounding vessels

  • IHC: desmin, estrogen receptor

Deep (aggressive) angiomyxoma

  • Hypocellular; spindle-stellate cells in loose fascicles

  • Eosinophilic cytoplasm with delicate tapering processes

  • Monomorphic ovoid nuclei; inconspicuous mitotic activity

  • Abundant myxoid stroma; ectatic small-medium vessels; interspersed "myoid bundles", particularly surrounding vessels; interspersed mature adipocytes