Giant Fibroepithelial Polyps of the Vulva in a Woman with Uterine Myoma and Primary Infertility: A Case Report and Literature Review

Abstract

Patient: Female, 23-year-old Final Diagnosis: Giant fibroepithelial polyps of the vulva in women with uterine myoma and primary infertility Symptoms: Irregular bleeding and mass on the vulva Medication:— Clinical Procedure: — Specialty: Obstetrics and Gynecolog Objective: Rare disease Background: Reproductive health is closely related to long-term quality of life and maternal well-being in obstetrics. The overall incidence of fibro-epithelial polyps in the general population is about 46%, but a location on the vulva is quite rare, and is very rare when the size is more than 5 cm. Case Report: A 23-year-old woman reported irregular bleeding and a mass on the vulva. After anamnesis, physical examination, biopsy, and radiology imaging, the patient was diagnosed with uterine myoma, primary infertility, and a large solid and benign mass on the vulva. The mass found on the vulva was apparently unrelated to intra-abdominal organs and urogynecology. After performing an excision accompanied by a laparoscopic myomectomy, the histopathological results showed that the mass on the vulva was a 16×11×6 cm fibroepithelial polyp weighing 700 g. After 7 months of therapy, the submucosal uterine myoma recurred. Submucosal uterine myomas were found rooted into the vaginal canal, so the surgeon performed an extirpation operation. Eight months later, the patient succeeded in having a pregnancy that ended in delivery by cesarean section. Conclusions: Giant fibroepithelial polyps are very rare. Management is by excision accompanied by a laparoscopic myomectomy. They affect reproductive health and require appropriate management and diagnosis.

Large vulvar fibroepithelial polyp and review of differentials

“…Irritation on a frequent basis appears to be a significant contributing factor, particularly in people with obesity. These are oestrogen sensitive 5. They are typically solitary and might be polypoid or pedunculated.…”

Multiple Vulvar Giant Fibroepithelial Polyps: A Rare Case Occurrence

“…They can be treated with cryotherapy or cauterization when their size is in millimeters, while surgical excision is required for large fibroepithelial polyps [ 15 ]. There has been previous experience in excising giant polyps in the literature with excellent outcomes [ 9 , 16 ].…”

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