Common and uncommon lesions of the vulva and vagina on magnetic resonance imaging: correlations with pathological findings

Yan, Ning; Ling, Rennan; Zhang, Feiran; Zhang, Guofu; Zhang, He

doi:10.1259/bjro.20230002

Cited by 5 publications

(3 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presence of atypical cells, hypercellularity, and numerous mitoses indicates malignancy on histopathological examination. 6,7,15 In our case, the MRI results showed a mass with an isointense signal on T1W1 and T2W1 with relatively well-defined borders, seemingly surrounded by fat, no connection to the surrounding bones, and a size of 5.85x6.03x4.04 cm, located in the right anterolateral wall of the vagina. This mass exhibited mild inhomogeneous enhancement on T1 with contrast.…”

Section: Discussionmentioning

confidence: 49%

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Nizomy,

Budinurdjaja,

Armanza

et al. 2024

MOG

View full text Add to dashboard Cite

HIGHLIGHTS Extrauterine leiomyoma, including vaginal leiomyoma, is an exceedingly rare condition with complex pathogenesis and management Clinical evaluation and high-quality imaging are required to confirm the diagnosis of vaginal tumor. If there are insufficient facilities, referrals must be made. Operative management using vaginal approach was described for treating vaginal leiomyoma. ABSTRACT Objective: To describe the challenges of early diagnosis and appropriate management of vaginal leiomyoma in rural areas. Case Report: A 26-year-old woman, P1A0, was referred from a rural hospital and presented a chief complaint of vaginal mass. The patient was admitted to the tertiary hospital with suspected malignant vaginal tumor and underwent a biopsy, which revealed leiomyoma on pathological examination. Despite conservative treatment, the mass continued to grow, unaffected by the menstrual cycle, causing discomfort. Following a second hospital admission, the patient underwent surgical management of extirpation and vaginal reconstruction. The microscopic finding of the tumor showed myositis cell proliferation with hyperplastic growth, monotonous nuclei, and variable cell shapes, supporting the diagnosis of vaginal leiomyoma. During postoperative monitoring, there was no vaginal bleeding. Thereafter, on the day following surgery, it was found that the right labium major was swollen. This was treated with anticoagulants, topical NSAIDs, and a sitz bath. The patient was discharged from the hospital in good condition and had an uneventful postoperative recovery. Conclusion: Although the incidence of vaginal leiomyoma is uncommon, precise early diagnosis and appropriate management might improve outcomes, particularly in rural areas.

show abstract

Section: Discussionmentioning

confidence: 49%

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Nizomy,

Budinurdjaja,

Armanza

et al. 2024

MOG

View full text Add to dashboard Cite

show abstract

“…In any case, vaginal fibroepithelial polyps should be differentiated from malignant neoplasms of the vagina, such as sarcoma botryoides, rhabdomyosarcoma, and mixed mesodermal tumors [12]. Furthermore, vaginal leiomyomas, although extremely rare, should be included in the differential diagnosis of vaginal fibroepithelial polyps [13].…”

Section: Discussionmentioning

confidence: 99%

Fibroepithelial Polyp of the Vagina With Torsion: A Difficult Diagnosis Based on Clinical and Morphological Findings of the Vaginal Lesion

Thanasa,

Kontogeorgis

et al. 2024

Cureus

View full text Add to dashboard Cite

Vaginal fibroepithelial polyps are rare benign tumors of the mucosa of the anterior vaginal wall. In extremely rare cases, they may originate from the posterior vaginal wall or be complicated by torsion. Our case concerns a 63-year-old patient who presented to the gynecology outpatient clinic of the General Hospital of Trikala with minor vaginal bleeding. On vaginal examination, a large pedunculated painless hemorrhagic polypoid mass was noticed, originating from the posterior vaginal wall. A torsion of the pedunculated vaginal tumor was suspected, leading to its surgical excision with clear resection margins. Due to extensive tissue necrosis, accurate histological identification of the vaginal neoplasm was not possible. Histological examination excluded vaginal malignancy. Based predominantly on the clinical and morphological features of the vaginal lesion, a diagnosis of vaginal fibroepithelial polyp with torsion was made, acknowledging its limitations. The patient was discharged from the clinic the same afternoon following the surgery. Three months later, no recurrence of the lesion in the vaginal wall was noted. Following the case presentation, this paper provides a brief literature review of this rare entity, focusing on the diagnostic and therapeutic approaches.

show abstract

“…Although leiomyomas are the most frequently benign compact neoplasm of the vulva, they are still relatively uncommon. Vulvar leiomyomas represent only 0.03% of all gynecological neoplasms and 0.07% of all vulvar tumors [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

A Case Report of Vulvar Leiomyoma: A Rare Pathological Entity

Kalambe,

Gattani,

Bankar

2023

Cureus

View full text Add to dashboard Cite

Smooth muscle tumors, known as leiomyomas, are benign and can grow anywhere in the body, but the uterine myometrium is the most common site. Vulvar leiomyomas are uncommon and rare. We report a case of a 25-year-old female P (para) 1 L (live) 1 with a previous normal vaginal delivery, who presented two painless swelling of in vulva for one year. The urethral meatus deviated to the left side. After surgical excision, a histopathological examination was performed that confirmed leiomyoma. The patient was discharged after an uneventful postoperative period. A vulvar leiomyoma tumor is often mistaken for a Bartholin cyst, and it is challenging to distinguish between benign and malignant types of vulvar leiomyomas, making diagnosis extremely challenging.

show abstract

Common and uncommon lesions of the vulva and vagina on magnetic resonance imaging: correlations with pathological findings

Cited by 5 publications

References 46 publications

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Fibroepithelial Polyp of the Vagina With Torsion: A Difficult Diagnosis Based on Clinical and Morphological Findings of the Vaginal Lesion

A Case Report of Vulvar Leiomyoma: A Rare Pathological Entity

Contact Info

Product

Resources

About