Vulvar Leiomyomatosis: A Diagnostic Challenge Case Report

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

Journal Name: Current Women`s Health Reviews

Volume 16 , Issue 1 , 2020

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Graphical Abstract:


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 a 36-year old virgin female (BMI>30) who was referred to the clinic with a 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 the 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

Year: 2020
Page: [81 - 83]
Pages: 3
DOI: 10.2174/1573404815666190128152642
Price: $65

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