BPG is committed to discovery and dissemination of knowledge
Case Report
Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. Apr 21, 2026; 32(15): 115263
Published online Apr 21, 2026. doi: 10.3748/wjg.v32.i15.115263
Aggressive angiomyxoma occurring in the stomach: A case report and review of literature
Jing-Jie Wang, Wen-Li Xu, Ai-Qing Li
Jing-Jie Wang, Ai-Qing Li, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China
Wen-Li Xu, Department of Gastroenterology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310058, Zhejiang Province, China
Author contributions: Wang JJ was the primary data collector and writer, and is the first author; Li AQ was the co-corresponding author; Wang JJ, Xu WL and Li AQ have read and approved the final version to be published.
Informed consent statement: Informed consent was obtained from the patient for the publication of their information and imaging.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Ai-Qing Li, PhD, Doctor, Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qinchun Road, Hangzhou 310003, Zhejiang Province, China. 3310015@zju.edu.cn
Received: October 15, 2025
Revised: November 23, 2025
Accepted: February 5, 2026
Published online: April 21, 2026
Processing time: 184 Days and 12.8 Hours
Abstract
BACKGROUND

Aggressive angiomyxoma (AA) is a rare, slow-growing, locally invasive mesenchymal tumor classified as an undifferentiated neoplasm under the World Health Organization classification system. It predominantly occurs in the vagina, vulva, and other pelvic soft tissues, although its clinical manifestations can be highly variable.

CASE SUMMARY

We report a case of AA located in the lesser curvature of the gastric antrum in a middle-aged female who presented with a palpable abdominal mass of one week’s duration. The patient subsequently underwent en bloc tumor resection, with histological confirmation of the diagnosis of gastric AA. Currently, there are no signs of tumor recurrence, and the patient’s general condition is satisfactory.

CONCLUSION

To our knowledge, this represents the second reported case of gastric-origin AA worldwide. AA arising in the stomach remains difficult to differentiate radiologically, and further clinical data are needed for comprehensive analysis in the future.

Keywords: Aggressive angiomyxoma; Stomach; Computed tomography; Magnetic resonance imaging; Endoscopic ultrasound; Case report

Core Tip: Aggressive angiomyxoma is a rare, slow-growing, locally invasive mesenchymal tumor. We present a case of aggressive angiomyxoma located in the stomach in a female, with a comprehensive review of its imaging features of endoscopic ultrasound, computed tomography, and magnetic resonance imaging.