Giant fibroepithelial vulvar polyp in a pregnant woman

Abstract

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

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

“…However, in the medical history of our patient, vulvar regressing nevi have not been described. The propensity of these lesions to occur during pregnancy, 13,14 and often to spontaneously regress after delivery, suggests that hormonal influences may play a role in FEVP development 7 . The association of fibroepithelial polyps with pregnancy was explained as a local exuberant response to unidentified trophic or stimulating factors 8,9 .…”