DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190320

A large fibroma polyp of labia majora

Aman Deep Raj, Murali Mohan Soma, S. P. Khajuria

Abstract


Fibroepithelial stromal polyps are benign proliferations which are usually polypoid or pedunculated, and less than 5cm in size. They are generally single lesions but can be multiple during pregnancy. They can be polypoid or pedunculated and are usually solitary. Symptoms usually include bleeding, discharge and general discomfort with sensation of a mass. They typically have a central fibrovascular core and contain stellate and multinucleated stromal cells which are best seen beneath the surface epithelium. True myxoid stroma is absent. Although vulvovaginal fibroepithelial stromal polyps are well documented, a giant variant such as the one authors report here is rather rare. To the knowledge, present case is the largest fibroepithelial stromal polyp compared to others reported in the literature.


Keywords


Fibroma polyp, Giants, Labial, Labia majora, Skin tag

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References


Carter J, Elliott P, Russell P. Bilateral fibroepithelial polypi of labium minus with atypical stromal cells. Pathol.1992:24(1);37-9.

Nucci MR, Oliva E. Gynecologic Pathology E-Book: A Volume in the Series: Foundations in Diagnostic Pathology. Elsevier Health Sciences; 2009.

Nucci MR, Young RH, Fletcher CD. Cellular pseudosarcomatous fibroepithelial stromal polyps of the lower female genital tract: an underrecognized lesion often misdiagnosed as sarcoma. Am J Surgical Pathol. 2000;24(2):231-40.

Ostör AG, Fortune DW, Riley CB. Fibroepithelial polyps with atypical stromal cells (pseudosarcoma botryoides) of vulva and vagina. A report of 13 cases. Int J Gynecol Pathol: Official J Int Society Gynecol Pathol. 1988;7(4):351-60.

Kurman RJ, Ellenson LH, Ronnett BM. In: Blaustein’s Pathology of the Female Genital Tract. 6th ed. US: Springer; 2011.

Wilkinson EJ, Xie D. Benign diseases of the vulva. In: Kurman RJ, ed. Blaustein’s pathology of the female genital tract. 5th ed. New Delhi: Springer-Verlag; 2002:37-98.

De Lima A. Fibroma of the vulva (Molluscum Pendulum). Obstet Gynaecol Surv. 1952;7:845-6.

Berlin M, Berlin S. Fibroma of the vulva: a case report. J Reprod Med. 2007;52:533-4.

Orosz Z, Lehoczky O, Szoke J, Pulay T. Recurrent giant fibroepithelial stromal polyp of the vulva associated with congenital lymphedema. Gynecol Oncol. 2005;98(1):168-71.

Dane C, Dane B, Cetin A, Erginbas M, Tatar Z. Association of psoriasis and vulval fibroepithelial polyp: first reported case. Am J Clin Dermatol. 2008;9(5):333-5.

Bozgeyik Z, Kocakoc E, Koc M, Ferda Dagli A. Giant fibroepithelial stromal polyp of the vulva: extended field-of-view ultrasound and computed tomographic findings. Ultrasound Obstet Gynecol. 2007;30(5):791-2.

Iwasa Y, Fletcher CD. Distinctive prepubertal vulval fibroma: a hitherto unrecognized mesenchymal tumor of prepubertal girls: analysis of 11 cases. Am J Surg Pathol. 2004;28(12):1601-8.

Nucci MR. Mesenchymal lesions of the lower genital tract. Surg Pathol Clin. 2009;2(4):603-23.