Leiomyoma of the Vulva: Case Report

Fontinele, Danilo Rafael da Silva; Silva, Luiz Henrique Carvalho; Vieira, Sabas Carlos; Pinheiro, Francisco das Chagas Santos; Nunes, Gilberto de Alencar

doi:10.1016/j.jpag.2021.10.020

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…Clinically, the patient presents with a solitary painless swelling, which increases over time, causing difficulty in sitting, walking, or sexual activity. The size of the tumor may range from 0.5 to 15 cm [9]. Our patient presented with a similar finding of painless mass in the vulvar region, which increased in size over 1 year, reaching a size of 14 × 10 cm.…”

Section: Discussionsupporting

confidence: 70%

“…Our patient was an adolescent, which is a rare age for vulvar leiomyoma to occur. A similar case of vulvar leiomyoma measuring 10 × 10 cm was reported in a 14-year-old girl by Fontinele et al from Brazil [9]. Clinically, the patient presents with a solitary painless swelling, which increases over time, causing difficulty in sitting, walking, or sexual activity.…”

Section: Discussionsupporting

confidence: 62%

“…Thus, initial diagnosis is often challenging due to infrequent occurrence and nonspecific clinical presentation. The differential diagnosis includes other solid or cystic masses in the vulva such as Bartholin cyst or abscess, lipoma, fibroma, schwannoma, aggressive angiomyxoma, hemangioma, vulvar cyst, leiomyosarcoma, and dermatofibrosarcoma [9][10][11]. The most common confusion occurs with Bartholin cyst due to topography of the Bartholin gland [9].…”

Section: Discussionmentioning

confidence: 99%

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Vulvar leiomyoma in an adolescent girl: a case report and review of the literature

2023

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Background Vulvar leiomyoma is a rare soft tissue tumor, with only around 300 cases described in the literature. Owing to its low incidence of just 0.03% of all gynecological tumors, it often poses a great diagnostic challenge, especially in teenagers. We report this rare occurrence of vulvar leiomyoma in a teenage girl who was primarily left untreated due to cultural taboos and fear of loss of virginity. The main aim in presenting such rare case studies is to raise awareness and expand the diagnostic horizon of the surgeon for appropriate management. Case presentation We describe a case of a 15-year-old North Indian, sexually inactive unmarried girl, who presented with a history of painless swelling in the left labia majora for the last 1 year, which gradually increased in size. There was no associated pain or any other difficulty. Local examination revealed a 14 × 10 cm solid, unilateral nonpedunculated mass on the left labia majora with superficial vascularity. Differential diagnoses of sarcoma, lipoma, Bartholin cyst, and fibroid were kept in mind. Ultrasonography revealed a solid mass with superficial vascularity with normal internal genitalia. The mass was enucleated with an intact capsule under anesthesia. Histopathology confirmed it to be benign vulvar leiomyoma. The patient was discharged after 3 days in a satisfactory condition. Conclusion Leiomyoma of the vulva is an exceptionally rare tumor and is seldom seen in teenagers. It is often misinterpreted as a Bartholin cyst and should be kept as one of the differential diagnosis in teenage girls presenting with unilateral vulvar swelling. Vulvar leiomyoma can be completely cured by surgical removal if diagnosed timely without compromising virginity, so should never be missed in adolescents.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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Vulvar leiomyoma in an adolescent girl: a case report and review of the literature

2023

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“…Therefore, it is recommended to surgically remove any vulval mass for proper histological and immunological examination [ [8] , [9] , [10] , [17] , [18] , [19] , [20] ]. This should be performed after proper ultrasonographic examination or even magnetic resonance imaging to determine preoperative soft tissue invasion [ 18 ] and to differentiate between a Bartholin gland cyst and a leiomyoma [ 7 ]. Counseling the patient preoperatively about the risk of recurrence should also be done [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…This should be performed after proper ultrasonographic examination or even magnetic resonance imaging to determine preoperative soft tissue invasion [ 18 ] and to differentiate between a Bartholin gland cyst and a leiomyoma [ 7 ]. Counseling the patient preoperatively about the risk of recurrence should also be done [ 18 ].…”

Section: Discussionmentioning

confidence: 99%