Smooth muscle tumours of vulva are rare and therefore can be missed clinically. Our patient, 48-year-old lady presented with lump in the left vulva that was clinically diagnosed as Bartholin duct cyst. The lumpectomy was done under local anaesthesia and the lesion was sent for pathological examination. On gross examination the mass was 3.5 cm in diameter. The microscopic examination revealed the lump to be leiomyoma and no necrosis or atypia was present. The final diagnosis of “vulval leiomyoma” was given. Postoperative period was uneventful, and the patient is on regular follow up and there has been no recurrence. Leiomyoma should be kept as a differential diagnosis when a lady presents in late reproductive age group with unilateral swelling in vulvar region which is firm in consistency and the lump must be sent for histopathological examination for definitive diagnosis and rule out malignancy. The pathologists play a critical role in recognition and management of smooth muscle tumors of the vulva and to rule out leiomyosarcoma.
Background: Women at both ends of the reproductive age spectrum have unique outcomes which needs to be considered. Adolescents are at increased risk for anaemia, preterm delivery, fetal growth restriction and preeclampsia. The maternal mortality rate is higher on extremes of the age. However, there is marked variability of the birth wt even with in the age group from 19-35 years of age. The present study was conducted with an objective to assess the correlation of Maternal age with birth weight.Methods: A total of 135 women between age 19-35 years were considered who had delivered at term (n=135) and women with any risk factors were excluded. Women were divided in three groups with age <25 years, 26-30 years and >30 years. Both primigravida and multigravida women were included without considering the mode of delivery.Results: According to birth weight, 113 cases had their birth weight >2.5 kg and out of them 43, 56 and 14 cases belonged to age group <25, 26-30 and >30 years respectively while only 22 cases had their birth weight <2.5 kg and out of them 9, 8 and 5 cases had their age group <25, 26-30 and >30 years. Mean birth weight in age group <25 years was 2.96±0.46 kg, in age group 26-30 years, it was 3.19±0.47 kg and in age group >30 years it was 2.79±0.54. On applying ANOVA test, the difference was found statistically significant (p<0.01).Conclusions: The variation in birth weight with respect to maternal age is significant. Limitation of this study was group comprising of 135 women.
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