Aggressive angiomyxoma of the vagina is a rare disease. We present a 27-year-old woman, para 2002 with a vaginal soft tissue mass size 10 x 5 x 5 cm that protruded from the right lateral wall and extended to the introitus. This protruding mass was connected to a large pelvic mass. The vaginal soft tissue mass biopsy and histology showed aggressive angiomyxoma. After biopsy, the patient was operated to debulk the pelvic mass and reconstruct the vaginal wall. The final pathology was unchanged. Her second child was delivered by cesarean delivery in about 1 year later due to her previous cesarean section. She was still free of disease for 4 years after operation.

Authors: Prapaporn Suprasert, Surapan Khunamornpong

Key Words: Aggressive angiomyxoma, vagina, protrusion, mass