Vulvar Leiomyoma Presenting as a Painless Vulvar Mass

Witherspoon, Crystal; Garcia, Bobby; Behbehani, Sadikah; Nahas, Samar; Stuparich, Mallory

doi:10.1016/j.jmig.2021.10.014

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Vulvar leiomyoma is frequently mistaken as Bartholin’s gland cyst, the most common preoperative diagnosis, because the 2 conditions share some of the same presenting symptoms, such as a painless lump and swelling in the area. [ 2 ] In the current incident, a clinically verified Bartholin cyst was also present. Bartholin’s cyst and vulvar leiomyoma can be differentiated by the direction and consistency of the labia minora.…”

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

“…Vulvar leiomyomas are often painless, solitary, and well-circumscribed, however, they are sometimes preoperatively misinterpreted as Bartholin cysts, abscesses, or other benign disorders. [2,3] We discuss the case of a 45-year-old woman who had a vulvar leiomyoma that was initially misdiagnosed as a Bartholin cyst.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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

Liu

Wang

et al. 2023

Medicine

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Leiomiomul vaginal: prezentare de caz şi review narativ

Ana¹

2023

Obstetrica şi Ginecologia

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Extrauterine leiomyomas in uncommon locations: two case reports and literature review

Yavuz,

Kula,

Bayramoğlu

et al. 2024

Front. Med.

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ObjectivesThis study aims to provide an overview of the diagnosis, treatment, and follow-up management of vulvar and vaginal leiomyomas through the presentation of two rare cases.MethodsDetailed clinical presentations, surgical procedures, histopathological examinations, and follow-up outcomes of two cases of vulvar and vaginal leiomyomas are described. Relevant literature is also reviewed to contextualize the findings.ResultsBoth patients underwent successful surgical excision of the leiomyomas with no perioperative or postoperative complications. Histopathological examinations confirmed the diagnosis of leiomyoma based on characteristic microscopic features and immunohistochemical analyses.ConclusionVulvar and vaginal leiomyomas are rare benign tumors that require careful evaluation for accurate diagnosis and appropriate management. Surgical excision remains the primary treatment modality, and long-term follow-up is essential for monitoring recurrence and ensuring favorable outcomes.

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Vulvar Leiomyoma Presenting as a Painless Vulvar Mass

Cited by 3 publications

References 6 publications

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

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

Leiomiomul vaginal: prezentare de caz şi review narativ

Extrauterine leiomyomas in uncommon locations: two case reports and literature review

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