Giant Fibroepithelial Polyp of Vulva: A Case Report and Review of Literature

Abstract

Fibroepithelial stromal polyps of vulva are the type of mesenchymal lesion that typically occurs in women of reproductive period. They are common, usually small and hystologically benign. Larger lesions are rare and likely arise from proliferation of mesenchymal cells within the hormonally sensitive subepithelial stromal layer of the lower genital tract. We present a case of 16 year old female with a giant polypoid lesion of the vulva localized on the right labium. The mass measure was 18×12×3 cm. Total surgical resection of the lesion was performed. Histopathological examination reported a fibroepithelial stromal polyp of the vulva. The patient showed no evidence of recurrence four years after the resection. Fibroepithelial polyps of the vulvar region are benign lesions that have a wide range of morphologic appearances and may be misinterpreted as malignant. Total excision is the best treatment options and histopathological examination is strongly recommended to rule out a malignant neoplasm.

An An Unusually Large Fibroepithelial Polyp of Uterine Cervix: Case Report and Review of Literature

“…Polyps are benign lesions and may represent a reactive hyperplastic process of subepithelial myxoid stroma and misdiagnosed as malignant. Polyps are usually small, soft, spherical and asymptomatic lesions [7], but large polyps can present with a lot of discomfort symptoms like a lower abdominal pain, abnormal vaginal discharge, intermittent bleeding and introitus mass [8]. We present the case of a giant cervical polyp was the first case in our centre in the past 20 years; thus, confirming its rarity.…”

Large vulvar mass in young adult female

“…In one review of 61 cases, 23% occurred during pregnancy [2]. Rexhepi and associates propagated an association of FSP and obesity [3]. Recurrence, while rare, has been documented in women who are started on hormonal contraceptives.…”

Symptomatic vulvar mucinous cyst: A case report and review of the literature

“…The location was not that of a typical vulvar cyst, being too anterior for a Bartholin gland cyst, too lateral and posterior for a Skene gland cyst, and too lateral for a vestibular mucinous cyst [2]. It did not have the discoloration of a hemangioma, was too fluctuant to be a lipoma, and was not pedunculated like a giant angiomyxoma or giant fibroepithelial polyp of the vulva [4,5].…”

“…Magnetic resonance imaging was considered for preoperative diagnosis, but not deemed necessary. It would have been necessary to differentiate between a Skene gland cyst and urethral diverticulum [5], both of which this case was not.…”