A rare case of vulval leiomyoma

Authors

  • Shashi Lata Kabra Department of Obstetrics and Gynaecology, DDU Hospital, Government of NCT, Delhi, India
  • Reema Jain Department of Obstetrics and Gynaecology, DDU Hospital, Government of NCT, Delhi, India
  • V. K. Kadam Department of Obstetrics and Gynaecology, DDU Hospital, Government of NCT, Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20163895

Keywords:

Bartholin cyst, Leiomyoma, Lipoma

Abstract

Vulval leiomyomas are rare smooth muscle tumors that may arise from smooth muscle cells within erectile tissue, blood vessel wall or round ligament remnants in the labia majora and they are clinically misdiagnosed as Bartholin cyst or lipoma. In our case, a 40-year-old woman presented with 8 years history of progressively increasing painless swelling on her vulva. Clinically it was diagnosed as a solid tumour due to its consistency and location. Hence surgical excision was done. Histopathology report was suggestive of leiomyoma with hyaline changes on microscopy. Major diagnostic problem with smooth muscle tumors of the vulva is the distinction between benign and malignant form, since many vulval lesions have similar appearances making it difficult to distinguish benign from malignant lesions by gross inspection. The recommended treatment option is local excision of the mass with pathological examination.

References

Szklarukj, Tamm EP, Choi H, Varavithya V. MR imaging of common and uncommon large pelvic masses. Radiographics. 2003;23(2):403-24.

Fasih N, Prasad Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 2008 Nov-Dec;28(7):1931-48.

Kaufman RH, Gardner HL. Tumors of the vulva and vagina. Benign mesodermal tumors. Clin Obstet Gynecol. 1965 Dec;8(4):953-81.

Cobanoğlu O, Gürkan Zorlu C, Ergun Y, Kutluay L. Leiomyosarcoma of the vagina. Eur J Obstet Gynecol Reprod BBae J H, Choi SK, Kim JW. 1996;70(2): 205-7.

Vaginal leiomyoma: A case report and review of the literature. J Women's Med. 2008;1:92-4.

Downloads

Published

2016-12-14

Issue

Section

Case Reports