Angiomyxomatous polyp of vulva.

Angiomyxoma is a rare, slow-growing myxoid neoplasm that occurs almost exclusively in the genital, perineal, and pelvic regions of adult women. It mostly occurs during the reproductive years. It has propensity for local recurrence [1–4]. Macroscopically, they are soft, partly circumscribed, polypoids; across cross section, they have a glistening, homogeneous, gelatinous appearance; and sizes range from a few cm to 20 cm. The typical characteristics are slow growth, gelatinous appearance and locally infiltrative without evidence of nuclear atypia or mitosis [4, 5]. Treatment consists of local excision with tumour-free margins; however, local recurrence is high inspite of apparently complete surgical resection [5, 6].