Superficial myofibroblastoma of the vagina with a stalk: case report of a rare vaginal tumor with notable radiological findings

Tomita, Yoshihiro; Eriko, Takabayashi; Yuzawa, Sayaka; Okizaki, Atsutaka

doi:10.1016/j.radcr.2021.08.064

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…Tumors are negative for S100, EMA, and CK ( 19 ). The case described in this report is consistent with the above histopathological features, and the histopathological features of other mesenchymal lesions have been described in detail previously ( 12 , 18 , 19 ).…”

Section: Discussionsupporting

confidence: 91%

“…Simultaneously, we observed a wide pedicle that connected the mass to the vaginal wall, similar to that reported by Tomita et al. ( 12 ) and Adams et al. ( 13 ).…”

Section: Discussionsupporting

confidence: 91%

“…Our case also presented as a nodular mass, and we used colposcopy to magnify the lesion to visualize a more intuitive manifestation of this mass. Simultaneously, we observed a wide pedicle that connected the mass to the vaginal wall, similar to that reported by Tomita et al (12) and Adams et al (13). Owing to the small number of cases, it is unclear whether this phenomenon is unique to SMF.…”

Section: Discussionsupporting

confidence: 89%

“…The diagnosis of SMF of the lower female genital tract is usually challenging because it is rare and shares many clinicopathological features with other mesenchymal tumors, such as fibroepithelial stromal polyps, angiomyofibroblastoma, mammary-type myofibroblastoma, cellular angiofibroma, and aggressive angiomyxoma ( 12 , 18 ). The diagnosis should be combined with gynecological examination, ultrasound, and MRI, and the final diagnosis still depends on histopathology.…”

Section: Discussionmentioning

confidence: 99%

“…Histological examination shows a well-circumscribed, yet unencapsulated lesion, covered by unremarkable or hyperplastic squamous epithelium ( 19 ). Tumors usually present with spindle and stellate-shaped cells within a collagenous stroma, showing an expansive growth pattern with a grenz zone of uninvolved tissue ( 12 ). Multiple patterns, including lace-like, sieve-like, and fascicular, are characteristic features, as are myxoid or edematous foci, and few mitotic figures ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

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Superficial vaginal myofibroblastoma with mushroom-like appearance: A case report with colposcopic findings and literature review

2022

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Superficial myofibroblastoma (SMF) of the lower female genital tract is a relatively rare benign mesenchymal tumor. The diagnosis is usually challenging as it shares several similar clinicopathological features with other tumors. Herein, we present a case of a 71-year-old Chinese female patient with postmenopausal vaginal bleeding. Colposcopy imaging revealed a well-circumscribed mass in the vagina with a wide pedicle, resembling a mushroom. The patient underwent surgery, and the tumor was histologically diagnosed as SMF. To the best of our knowledge, this is the first report of colposcopic imaging of a superficial vaginal myofibroblastoma. In this case study, we review the clinicopathological features of SMF of the lower female genital tract reported in the literature to improve the understanding of the disease.

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Section: Discussionsupporting

confidence: 91%

“…Simultaneously, we observed a wide pedicle that connected the mass to the vaginal wall, similar to that reported by Tomita et al. ( 12 ) and Adams et al. ( 13 ).…”

Section: Discussionsupporting

confidence: 91%