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Cellular angiofibromas (CAF) are rare, benign, soft tissue/stromal lesions first described by Nucci et al. in 1997. These masses are well circumscribed, typically small (< 6 cm), and occur mainly in the vulvar region in women and the inguinoscrotal region in men. We present a case of a 60-year-old male who was found to have a very large (20 cm × 13.5 cm × 6 cm) lesion occupying the deep pelvis bridging the pelvic outlet and involving the perineum. Because of diagnostic uncertainty anddoi:10.5430/crcp.v4n2p20 fatcat:ltrh7jgttffivdoi67monr6jt4