Aggressive pelvic angiomyxoma (APA) is a rare, locally infiltrative mesenchymal tumor that primarily affects women of reproductive age. Surgical resection remains the treatment of choice. The high local recurrence rate and insidious growth pattern of APA make preoperative diagnosis crucial for optimal surgical planning. Careful radiological evaluation is vital to determine the full extent of the tumor and to minimize the risk of recurrence. This article presents 3 cases of APA highlighting the radiological characteristics and pathological findings. In all cases, magnetic resonance imaging (MRI) was essential for diagnosis, with typical findings including a hyperintense mass on T2-weighted (T2WI) images with low-signal bands creating a distinctive laminated pattern. This case series emphasizes the importance of recognizing the specific MRI features of APA to guide clinical management and improve patient outcomes.
Gallardo et al. (2026) studied this question.