Leiomyoma of the vulva: a diagnostic challenge

Saxena, Shivam; Goel, Suyash; Sen, Alok

doi:10.18203/2320-1770.ijrcog20180929

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Tavassoli and Norris proposed criteria to differentiate leiomyosarcoma from atypical and benign tumors. These characteristics include: tumor size more than 5 cm in the largest dimension, infiltrative margins, and more than five mitotic figures per ten high-power fields [13]. Nielsen et al added a fourth criterion of moderate-to-severe cytological atypia.…”

Section: Discussionmentioning

confidence: 99%

Vulvar leiomyoma in an adolescent girl: a case report and review of the literature

2023

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Background Vulvar leiomyoma is a rare soft tissue tumor, with only around 300 cases described in the literature. Owing to its low incidence of just 0.03% of all gynecological tumors, it often poses a great diagnostic challenge, especially in teenagers. We report this rare occurrence of vulvar leiomyoma in a teenage girl who was primarily left untreated due to cultural taboos and fear of loss of virginity. The main aim in presenting such rare case studies is to raise awareness and expand the diagnostic horizon of the surgeon for appropriate management. Case presentation We describe a case of a 15-year-old North Indian, sexually inactive unmarried girl, who presented with a history of painless swelling in the left labia majora for the last 1 year, which gradually increased in size. There was no associated pain or any other difficulty. Local examination revealed a 14 × 10 cm solid, unilateral nonpedunculated mass on the left labia majora with superficial vascularity. Differential diagnoses of sarcoma, lipoma, Bartholin cyst, and fibroid were kept in mind. Ultrasonography revealed a solid mass with superficial vascularity with normal internal genitalia. The mass was enucleated with an intact capsule under anesthesia. Histopathology confirmed it to be benign vulvar leiomyoma. The patient was discharged after 3 days in a satisfactory condition. Conclusion Leiomyoma of the vulva is an exceptionally rare tumor and is seldom seen in teenagers. It is often misinterpreted as a Bartholin cyst and should be kept as one of the differential diagnosis in teenage girls presenting with unilateral vulvar swelling. Vulvar leiomyoma can be completely cured by surgical removal if diagnosed timely without compromising virginity, so should never be missed in adolescents.

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Section: Discussionmentioning

confidence: 99%

Vulvar leiomyoma in an adolescent girl: a case report and review of the literature

2023

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A Rare Case of Vulval Fibroid During Pregnancy Presenting Like Bartholin’s Abscess

Batham¹

2021

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Introduction: - Fibroid are commonly found in uterus and cervix but rarely may found other sites (broad ligament, ovary, Vulva, vagina etc). Here we are presenting a rare case of Vulval Fibroid. Case Report: - A 25 years old woman G4P3L3 with 37 weeks pregnancy presented to OPD with complaint of severe pain at perineal region. There was history of fall in bathroom 1 month ago. On examination there was a swelling at right vulvo-vaginal junction of 4x4 cm, (probably bartholin cyst) with firm smooth surface, with no signs of acute inflammation, for that Incision and drainage was done and an organized mass was resected out. On histopathlogical examination, it was found to be a leiomyoma with myxoid degeneration. Discussion :- fibroids rarely presents with pain and inflammation and on the other hand bartholin’s cyst or abscess mostly presents with pain and inflammation, so detailed history and examination with broad suspicion are the keys to differentiate between Bartholin’s cyst and vulval fibroids.

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Leiomyoma of the vulva: a diagnostic challenge

Cited by 2 publications

References 6 publications

Vulvar leiomyoma in an adolescent girl: a case report and review of the literature

Vulvar leiomyoma in an adolescent girl: a case report and review of the literature

A Rare Case of Vulval Fibroid During Pregnancy Presenting Like Bartholin’s Abscess

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