A rare case of benign vulvovaginal leiomyoma: Case report and literature review

Muhammed, Paxshan Ashraf; Karim, Hawnaz Atta; Majeed, Nasrin Ghafar; Tahir, Kosar Shirwan; Abdullah, Shnow Hussain; Aziz, Jeza Muhamad Abdul; Makram, Abdelrahman M; Huy, Nguyen Tien

doi:10.1016/j.amsu.2022.103720

Cited by 7 publications

(8 citation statements)

References 31 publications

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“…It is often misdiagnosed as a Bartholin cyst preoperatively, which make them clinically masquerading. Vulvar leiomyomas represent about 3.8% of all benign soft tissue tumours 1 2. They usually arise from deeper connective tissues of labia majora (dermatofibroma) 1.…”

Section: Descriptionmentioning

confidence: 99%

“…Vulvar leiomyomas represent about 3.8% of all benign soft tissue tumours 1 2. They usually arise from deeper connective tissues of labia majora (dermatofibroma) 1. Vulvar leiomyoma grows slowly and usually presents as a mass in the perineal region with pain and discomfort as the primary symptoms.…”

Section: Descriptionmentioning

confidence: 99%

“…Review of literature suggests less than 200 case reports that have been presented so far 1 3. Leiomyomas are benign tumours having multiple sources of histological origin including smooth muscle cells, spindle cells and epithelioid cancer cells of eosinophilic cytoplasm.…”

Section: Descriptionmentioning

confidence: 99%

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Vulval leiomyoma: a rare clinical entity

Anurag,

Shah,

Bhaskar

et al. 2023

BMJ Case Rep

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Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

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Vulval leiomyoma: a rare clinical entity

Anurag,

Shah,

Bhaskar

et al. 2023

BMJ Case Rep

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“…Vulvar leiomyoma is a rare and benign mass on the vulva. [ 1 ] Leiomyomas of the vulva are nonspecific and camouflaging. Vulvar leiomyomas are often painless, solitary, and well-circumscribed, however, they are sometimes preoperatively misinterpreted as Bartholin cysts, abscesses, or other benign disorders.…”

Section: Introductionmentioning

confidence: 99%

A case of misdiagnosed leiomyoma of the vulva: A case report

Liu

Wang

et al. 2023

Medicine

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Rationale: Leiomyoma of the vulva is a rare, benign mass that is present on the vulva. Most commonly, they are described as painless, well-circumscribed, solitary tumors that are misdiagnosed as Bartholin cysts before surgery. Patient concerns: A 45-year-old woman presented with a case of vulvar leiomyoma misdiagnosed as Bartholin cyst preoperatively. A solitary swelling mass measuring 3 cm × 2 cm was found in the left labia majora at the Bartholin gland site on physical examination. Diagnoses: A vulvar mass extent and vascularity may be determined by imaging. A color doppler flow imaging of the posterior vaginal wall revealed abundant blood flow. Intervention: To confirm vulvar leiomyoma, surgery and histopathology were performed. Outcome: After 2 months of follow-up, there were no signs of recurrence in the patient. Lessons: Rare vulvar leiomyomas are often mistaken for Bartholin’s cysts. It is also difficult to distinguish benign from malignant forms, making vulvar leiomyoma a difficult diagnosis. As there are a few techniques used to differentiate between the nature of the tumor, excisional biopsy seems to be the best current procedure employed in addition to being the treatment of choice for such tumors.

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“…The risk factors for its occurrence are not well articulated, and it has been postulated that estrogen and progesterone play a role in tumor proliferation (5). Before menarche occurrence of leiomyoma are rare and after menopause, they often undergo regression (6). Histologically, they originate from the smooth muscles of the erectile tissues, walls of blood vessels, and from the round ligament (2).…”

Section: Introductionmentioning

confidence: 99%

A rare case of vulvar leiomyoma masquerading as Bartholin cyst

Priya¹,

Lilly²

2023

Biomedicine

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Vulvar leiomyoma possesses a diagnostic challenge clinically due to its rarity. Usually, it is diagnosed as Bartholin cyst in clinical practice, until histopathological examination is done. Herein we report a 49-year female with a painless perineal swelling on the right side of the vulva for 5 months. Clinically, it was suspected as Bartholin gland cyst based on her anatomical location, clinical signs, and symptoms. Excision was done and histopathological study revealed a benign smooth muscle neoplasm with whorls and interlacing fascicles of spindle shaped cells without nuclear atypia. Hence diagnosed as vulvar leiomyoma histopathologically.

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A rare case of benign vulvovaginal leiomyoma: Case report and literature review

Cited by 7 publications

References 31 publications

Vulval leiomyoma: a rare clinical entity

Vulval leiomyoma: a rare clinical entity

A case of misdiagnosed leiomyoma of the vulva: A case report

A rare case of vulvar leiomyoma masquerading as Bartholin cyst

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