Author(s)

Anh Q. Nguyen^1*, Cassandra L. Presti¹, Graham Nelsen¹, Francine McLeod^1,2

¹Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, VA, USA.
²Department Obstetrics and Gynecology, School of Medicine, University of Virginia, Inova Campus, Falls Church, VA, USA.

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.

Vaginal Cellular Angiofibroma, Vaginal Tumor, Vaginal Bleeding

Nguyen, A. , Presti, C. , Nelsen, G. and McLeod, F. (2020) Vaginal Cellular Angiofibroma with Heavy Bleeding: A Case Report. Open Journal of Obstetrics and Gynecology, 10, 1609-1615. doi: 10.4236/ojog.2020.10110144.