Giant Lipoma of the Left Labium Majus: A Clinical Diagnostic Challenge

Rodrigues, Gabriel; Chandramouli, Mathangi; Tejaswy, Kapil; Shetty, Divakara S

doi:10.1089/gyn.2017.0016

Cited by 3 publications

(6 citation statements)

References 6 publications

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“…Vulvar lipomas are rare benign mesenchymal tumours consisting of mature adipocytes with strands of fibrous connective tissue which aetiology and pathogenesis remain unclear [3,5,[11][12][13][14]. Trauma, obesity, and genetic abnormalities are some of the reported risk factors involved in their development [4].…”

Section: Discussionmentioning

confidence: 99%

Vulvar lipoma: rare case, rare location

Cuccu¹,

D’Augè²,

Dio³

et al. 2024

Ital J Gynaecol Obstet

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Background. Vulvar lipomas are very rare pathologies: indeed, only few cases are reported in the literature. Case presentation. We reported clinical, diagnostic and therapeutical choices of a 44-year aged patient with a rare abnormally sized vulvar lipoma. A Diamond-shaped skin incision was performed and the neoformation was removed without capsule lesions. A vaginal plastic skin-reducing was performed to reduce redundant tissue. The deep planes of the lesion have been reconstructed to avoid leakage. Conclusions. This kind of lipomas can be potentially diagnosed through clinical examination because of their specific characteristics. However, imaging is advisable to differentiate benign neoplasm from malignant one. Different approaches can be achieved for lipomas based on the size of lump, patient's feelings and necessities and the operation goals; however, the complete surgical excision with the removal of capsules to prevent recurrence remains the treatment of choice for vulvar lipomas. Different surgical approaches aim to achieve better esthetical results, less scarring, and less colour discordance of the connected tissues post-surgery. Surgery is the gold standard for treatment of vulvar lesions. Currently, there is no evidence of long-term follow-up in the literature. We recommend an adequate counselling with the patient to understand their needs and encouraging them to seek medical advice and to tailor the treatment of such lesions.

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Section: Discussionmentioning

confidence: 99%

Vulvar lipoma: rare case, rare location

Cuccu¹,

D’Augè²,

Dio³

et al. 2024

Ital J Gynaecol Obstet

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“…The lesion was benign, but several differential diagnoses were considered, as described by Salvatori et al, such as: mimicking lesions; inguinal hernia (which is distinguished by the fluctuating nature); vascular malformations (bluish discoloration of the skin and history of pain and thrombosis); lipoma and neurofibroma (both well-defined masses on palpation); Bartholin's duct cyst or abscess (pain and erythema); labial hypertrophy (bilateral); rhabdomyosarcoma; and angiofibroblastoma [ 3 ]. Additional differential diagnoses were proposed by different authors, such as: Crohn's disease of the vulva; perineal nodular induration and aggressive angiomyxoma; vulvar metastasis; and finally infectious etiologies such as candidiasis, schistosomiasis and enterobiasis [ 2 , [4] , [5] , [6] ]. McCluggage and colleagues had described a unilateral pseudoneoplasic lesion on the vulva occurring in competitive female cyclists; they term this lesion as reactive fibroblastic and myofibroblastic proliferation of the vulva or “cyclist's nodule” [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Generally, diagnosis is based on histological evaluation by biopsy or surgical excision [ 2 , 4 , 5 ]. According to Vargas et al, the most histologically similar lesion is aggressive angiomyxoma [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Asymmetric labium majus enlargement in an adult: A case report

Prokurotaite

Sirtaine

Buxant

2022

Case Reports in Women's Health

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“…Surgical removal, liposuction, laser therapy, and pharmacological injections are all considered therapeutic options for lipomas in general [3]. Complete surgical excision with the removal of capsules to prevent recurrence remains the treatment of choice for vulvar lipomas [4][5][6][7][8][9]13,14].…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, vulvar lipomas must be differentiated from other lesions such as the cystic enlargement of the canal of Nuck and Bartholin's gland [ 1 , 13 ] and they may be misdiagnosed as inguinal or femoral hernias [ 10 , 14 ]. Vulvar lipomas, like other lipomas, normally tend to have a benign path.…”

Section: Case Presentationmentioning

confidence: 99%

A Large Lipoma of the Labia Majora

Moshref¹,

Malaekah²

2021

Cureus

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A 40-year-old woman presented with a huge right labial swelling that had been enlarging gradually for the last four years. A 10-cm labial swelling was revealed on clinical examination. Preoperative magnetic resonance imaging (MRI) was used to rule out other possible diagnoses, such as hernias, vulvar cysts and tumours. When it came to assessing and diagnosing soft tissue swelling, MRI was the method of choice. It determined that the swelling had a bright T1 and T2 signal intensity similar to that of subcutaneous fat, with a decline in signal in fat-saturated sequences, indicating a diagnosis of vulvar lipoma. The mass was surgically excised, and histopathology confirmed the diagnosis of a benign lipoma. Lipomas are considered the most common soft tissue tumours accounting for a prevalence of 1% in the population. Their occurrence in the vulva in premenopausal women is considered rare and only a few cases of vulvar lipomas have been reported in the literature. Herein, we report a rare case of a patient with vulvar lipoma and review the available literature.

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Giant Lipoma of the Left Labium Majus: A Clinical Diagnostic Challenge

Cited by 3 publications

References 6 publications

Vulvar lipoma: rare case, rare location

Vulvar lipoma: rare case, rare location

Asymmetric labium majus enlargement in an adult: A case report

A Large Lipoma of the Labia Majora

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