Giant Fibroepithelial Polyp of Vulva: Scientifific Letter

Abstract

148esenchymal tumours of the vulvovaginal region range from benign to locally aggressive and malignant tumors. Benign tumors of the vulva are relatively uncommon, constituting a large spectrum of tumors such as angiofibroma, angiomyofibroblastoma, lymphangioma and schwannoma.1-3 Fibroepithelial polyp (acrochordon, fibrolipoma, soft fibroma) is a benign neoplastic/hamartomatous polypoid mass of vulva. 4Although it is a common cutaneous lesion which has a propensity for axilla, neck, groin, eyelids and chest, is relatively uncommon in female genital tract. [4][5][6] When seen in the female genital tract, it is usually seen in vagina.Giant Fibroepithelial Polyp of Vulva: Scientific Letter A AB BS ST TR RA AC CT T Fibroepithelial polyp (FEP) is a flesh-colored pedunculated skin tag which has a predilection for axilla, neck, groin, eyelids and beneath breasts. This benign mesenchymal skin lesion is relatively uncommon in female genital tract. When observed in the female genital tract, it usually presents in vagina. Large vulvar cases are very rare. We present a 39 year old female patient who presented to the dermatology outpatient clinic with a slowly and continuously growing vulvar swelling. Physical examination revealed a pedunculated mass on the surface of right labium majoris which had a diameter of approximately 6 cm. The patient did not have any polypoid skin lesions at any other body region. She was referred to the gynaecology outpatient clinic. The mass was excised under general anesthesia and histopathologic examination was performed yielding the diagnosis of FEP. We present this rare case with its uncommon size and location with review of the literature.K Ke ey y W Wo or rd ds s: : Neoplasms, fibroepithelial; vulva Ö ÖZ ZE ET T Fibroepitelyal polip (FEP), aksilla, boyun, bacak arası, gözkapağı ve memelerin alt kısmında görülme eğiliminde olan, ten renginde, pedünküle bir deri ekidir. Bu benign, mezenkimal deri lezyonu, kadın genital traktında göreceli olarak seyrek gözlenir. Kadın genital traktında izlendiğinde, genellikle vajinada bulunur. Büyük boyutlu vulvar olgular çok nadirdir. Dermatoloji polikliniğine vulvada yavaş ve sürekli büyüyen şişlik ile başvuran 39 yaşında bir kadın hastayı sunmaktayız. Fizik muayenede sağ labium majoris yüzeyinde yerleşmiş, yaklaşık 6 cm çapında bir pedinküle kitle izlendi. Hastanın vücudunda başka bir polipoid deri lezyonu izlenmedi. Hasta, jinekoloji polikliniğine yönlendirildi. Genel anestezi altında eksize edilen kitle, histopatolojik inceleme sonucunda FEP tanısını aldı. Sık görülmeyen boyut ve yerleşim yeri ile nadir olan bu olguyu literatür incelemesi ile birlikte sunmaktayız.A An na ah ht ta ar r K Ke el li im me el le er r: : Neoplaziler, fibroepitelyal; vulva T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J D De er rm ma at to ol l 2 20 01 16 6; ;2 26 6( (3 3) ): :1 14 48 8--5 51 1

Multiple Vulvar Polyps in Pregnancy: A Benign Disease With a Challenging Diagnosis

“…Studies hypothesized that the etiology was related to tissue damage and a subsequent delayed differentiation of myofibroblast stromal cells, which can cause granulation tissue that turns into polyps 3 . According to Ahmedmaulin, FEVP are thought to arise from a regressing nevus or as a response to an unspecified irritative status, especially in overweight patients, 12 as was our patient. However, in the medical history of our patient, vulvar regressing nevi have not been described.…”