Vulvar Leiomyomatosis: A Diagnostic Challenge Case Report

(E-pub Ahead of Print)

Author(s): Malihe Hasanzadeh, Leila Mousavi Seresht, Amir Hosein Jafarian, Anahita Hamidi, Somayeh Moeindarbari, Marjaneh Farazestanian*.

Journal Name: Current Women`s Health Reviews

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Introduction: Vulvar leiomyomas are rare and usually misdiagnosed as Bartholin’s cyst on initial presentation. Leiomyoma of vulva accounts for only 0.03% of all gynecological neoplasm. Definite diagnosis is based on surgical excision of the tumor. The aim of this report is to introduce a case of leiomyoma of the vulva which was initially misdiagnosed as Bartholin’s cyst.

Case presentation: We present a case of 36-year old virgin female (BMI>30) who was referred to the clinic with 5-year history of left labial mass which was initially diagnosed as Bartholin’s cyst. The mass was removed and the pathologist confirmed that the final diagnosis was vulvar leiomyoma.

Conclusion: Vulvar leiomyoma is usually misdiagnosed with bartholin cyst and distinguishing between benign and malignant forms is confusing, so it is a diagnostic challenge. Surgical excision is the treatment of choice in all smooth muscle tumors of vulva. Continuing follow-up after treatment is highly recommended.

Keywords: Vulva, Leiomyoma, Bartholin’s cyst, Diagnosis, Women, Case report

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Article Details

(E-pub Ahead of Print)
DOI: 10.2174/1573404815666190128152642
Price: $95