“…The most encountered presentation of AA is a vaginal or vulvar soft mass, usually misdiagnosed as a Bartholin’s duct cyst, vulvar mass, lipoma, vulvar abscess, vaginal cyst, Gardner’s duct cyst, vaginal prolapse or levator hernia [ 6 ]. Misdiagnosed cases of AA have been reported to be as high as 82% [ 3 ]. Definitive diagnosis is made on the basis of histopathological features, typically stellate and spindle cells with poorly demarcated cytoplasm, separated by loose myxoid stroma abundant in collagen fibrils [ 4 ].…”