Abstract

Aggressive Angiomyxoma is a rare mesenchymal benign myxoid tumor of the pelvis and perineum which occurs almost exclusively in adult females. It rarely occurs in males and involves scrotum. A 62years old male patient presented with a slowly growing scrotal swelling since 6 months.Ultra sound examination revealed diffuse sub cutaneous scrotal wall thickening with hydrocele. Excision of the scrotal mass was done and sent for histopathological examination. Gross examination revealed skin covered soft tissue mass. On cut section there was partially circumscribed, lobulated mass with myxoid areas. Microscopic examination revealed lobulated lesion containing variable sized blood vessels, hypocellular and myxoid areas. About 150 cases were reported worldwide (few cases were reported in males) Aggressive Angiomyxoma in the scrotal region may present as a scrotal mass, often mistaken for a hernia or hydrocele.