An unusual presentation of vaginal leiomyoma

Patil, R. N.; Vijay, Nikita R; Joshi, Sulbha

doi:10.4103/jmh.jmh_40_19

Cited by 12 publications

(10 citation statements)

References 6 publications

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“…5 When suspected, and depending on the size, computed tomography or magnetic resonance imaging is generally requested to assess the extension of the mass, but the final diagnosis is generally only reached after histological examination, which is considered the gold standard. 4 In these 2 clinical cases, vaginal leiomyomas presented as incidental findings on physical examination before adjuvant vaginal brachytherapy for endometrial adenocarcinoma (not having been described in previous examinations). They presented similarly to metastatic lesions, and therefore excisional biopsies were requested.…”

Section: Discussionmentioning

confidence: 84%

“…Vaginal leiomyomas are rare benign entities, with around 300 reported cases. 4 Most are located on the anterior vaginal wall and are generally small and asymptomatic, 5 manifesting only after increasing in size, causing dyspareunia, bleeding, purulent discharge, urinary obstruction, or/and pain. 6 , 7 These are estrogen-related tumors, most common in caucasian women in the 35–50 years age group.…”

Section: Discussionmentioning

confidence: 99%

“… 6 , 7 These are estrogen-related tumors, most common in caucasian women in the 35–50 years age group. 4 Treatment is surgery with free margins and, when a large mass is present, may entail abdominal and perineal approaches. 7 Surgery should be performed as soon as the lesion is detected since there is a risk of sarcomatous transformation.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Stage I endometrial adenocarcinoma with a vaginal nodule—the importance of differential diagnosis

Rodrigues

Laranja

Carvalho

et al. 2022

Porto Biomedical Journal

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Stage I endometrial adenocarcinoma with a vaginal nodule—the importance of differential diagnosis

Rodrigues

Laranja

Carvalho

et al. 2022

Porto Biomedical Journal

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“…Most vaginal tumors do not show any symptoms until they reach a significant size. Pressure sensation, dyspareunia, vaginal or urethral obstruction, and vaginal bleeding may be among the symptoms and signs (1).…”

Section: Introductionmentioning

confidence: 99%

An Unusual Presentation of Giant Fibroepithelial Polyp of the Vagina

2021

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Scan to discover onlineFibroepithelial polyps of the vagina (FEPV) are rare entities which normally manifest as one or more painless polyps sometimes with symptoms such as bleeding, vaginal discharge, and discomfort regarding the size of the mass. Despite their benign nature, they can be confused with other vaginal tumors due to their abnormal histology. In this report, we present a case of a 44-year-old woman with a giant pedunculated and symptomatic polyp of the vagina with anterior vaginal wall prolapse. The treatment method included a simple local excision of the polyp and anterior vaginal compartment repair. Histopathological examination revealed a polypoid lesion covered by squamous epithelium containing a central fibrovascular core without atypia. The patient experienced an uneventful postoperative recovery, with no complication, which implies that surgery is the most effective modality for managing such tumors.

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Vaginal leiomyoma: A case report

Muhammad

Rashid

Othman

et al. 2023

International Journal of Surgery Open

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Introduction and importance Leiomyomas can affect 20–30% of women of reproductive age and are commonly observed in the uterus. Their occurrence in the vagina is exceedingly rare, representing the least common presentation among all locations. Herein, we report a case of vaginal leiomyomas in a 48-year-old lady. Case presentation A 48-year-old female presented to our gynecology clinic complaining of feeling a mass within her vagina. Physical examination revealed a round, smooth mass in the anterior vaginal wall with a normal-looking cervix. Ultrasound examination showed an enlarged anteverted uterus with an endometrial thickness of 14 mm and an endometrial polyp of 15 × 7mm arising from the left upper anterolateral wall. Magnetic resonance imaging demonstrated a well-defined, fusiform, submucosal vaginal mass originating from the anterior vaginal wall, measuring 37× 22 × 36 mm. Hysteroscopy was performed, and the uterine and vaginal masses were resected. The masses were confirmed to be conventional leiomyomas. Clinical discussion The diagnosis is seldom established preoperatively and the preferred therapeutic approach for treating vaginal leiomyoma is surgical removal via the vaginal route. However, in the case of large tumors, the abdominoperineal route may be necessary. Conclusion Vaginal leiomyoma is a rare tumor with approximately 300 reported cases worldwide. It can be asymptomatic or cause to feel it within the vagina. Besides the necessity of surgical resection, colporrhaphy as a reconstructive surgery may be required.

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An unusual presentation of vaginal leiomyoma

Cited by 12 publications

References 6 publications

Stage I endometrial adenocarcinoma with a vaginal nodule—the importance of differential diagnosis

Stage I endometrial adenocarcinoma with a vaginal nodule—the importance of differential diagnosis

An Unusual Presentation of Giant Fibroepithelial Polyp of the Vagina

Vaginal leiomyoma: A case report

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