38. Painless Labia Hair Tourniquet Presenting as a Recurrent Vulvar Mass

Smooth muscle tumors arising in the vulva are rare. Leiomyosarcoma is the most common variant of vulvar sarcoma, and very few cases have been reported during pregnancy. A 36-year-old woman presented with a progressively enlarging vulvar mass during pregnancy, diagnosed as a Bartholin's gland cyst. The lesion was resected at 38 weeks of gestation during cesarean section and diagnosis of myxoid leiomyosarcoma of the vulva was made. Six weeks later the patients were referred to our center and submitted to wide vulvar excision with groin lymph node dissection that revealed the presence of a small residual focus of leiomyosarcoma. At 30 months of follow-up the patient was well without any sign of recurrent disease. Leiomyosarcoma should be included in the differential diagnosis of vulvar masses; progressively enlarging vulvar lesion should be biopsied even during pregnancy. Leiomyosarcoma should be considered in the differential diagnosis of vulvar mass.

Download Full-text

Vulvar Lipoma: A Case Report

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0038-1670642 ◽

2018 ◽

Vol 40 (10) ◽

pp. 647-649

Author(s):

Ahmed Reda ◽

Ihab Gomaa

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Histopathological Examination ◽

Surgical Excision ◽

Imaging Modalities ◽

Resonance Imaging ◽

Rare Site ◽

Magnetic Resonance Imaging Mri ◽

Vulvar Mass

AbstractThe present study is a case report of vulvar lipoma. The vulva is a rare site for the development of lipomas, and the aim of the study is to determine if the current imaging modalities can diagnose lipomas correctly. A 43-year-old patient presented with a painless, slowly progressive, oval, mobile and non-tender right vulvar mass compressing the vagina and totally covering the introitus. Both the ultrasonography and magnetic resonance imaging (MRI) exams suggested the diagnosis of lipoma. Surgical excision was performed, and the histopathological examination of the mass confirmed a lipoma.

Download Full-text

Angiographic Embolization followed by Excision of Large Cellular Angiofibroma of the Vulva

Current Opinion in Gynecology and Obstetrics ◽

10.18314/cogo.v2i1.1624 ◽

2019 ◽

pp. 221-225

Author(s):

Torres SB ◽

Diez Brito M ◽

Peremateu MS ◽

Wernicke A ◽

Saez Perrotta C ◽

...

Keyword(s):

Surgical Planning ◽

Multidisciplinary Approach ◽

Soft Tissues ◽

Buenos Aires ◽

Histopathological Diagnosis ◽

Angiographic Embolization ◽

Internal Pudendal Artery ◽

Cellular Angiofibroma ◽

Pathology Section ◽

Vulvar Mass

Introduction: Cellular angiofibroma is a rare benign mesenchymal tumor, occurring almost exclusively in the superficial soft tissues of the genital region. Some of these lesions presents as large, hypervascularized masses. There are no reports in the literature to date on the challenges of resection of hypervascularized vulvar masses, or of hypervascularized cellular angiofibroma.Materials and methods: We describe a case of a cellular angiofibroma of the vulva and the surgical approach with tumoral vessel embolization and posterior resection.Case: A 47-year-old women was referred to vulvar pathology section of Italian Hospital of Buenos Aires for evaluation of left vulvar mass. A pelvic angiography was performed 5 days prior to surgery. It showed a hypervascularized formation at the level of the left vulva at the expense mainly of branches of the left internal pudendal artery. A complete resection was performed afterwards at our institution. The histopathological diagnosis was compatible with cellular angiofibroma.Conclusion: We consider that surgical planning is essential and has to be performed with a multidisciplinary approach. Angiographic embolization should be taken into account as a valid resource when planning a surgery with a high risk of blood loss in order to decrease morbidity.

Download Full-text

Vulval squamous cell carcinoma arising from hidradenitis suppurrativa

BMJ Case Reports ◽

10.1136/bcr-2020-241075 ◽

2021 ◽

Vol 14 (6) ◽

pp. e241075

Author(s):

Marilyn Boo ◽

Lois Eva ◽

Mayada Kellow ◽

James Scurry

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Hidradenitis Suppurativa ◽

Pathological Diagnosis ◽

Incisional Biopsy ◽

Time To Treatment ◽

Clinical Appearance ◽

Verrucous Squamous Cell Carcinoma ◽

Vulvar Mass

A 47- year-old woman developed a rapidly enlarging vulvar mass. Although the clinical appearance suggested malignancy, its lack of atypia and invasion on initial superficial biopsy delayed the pathological diagnosis. It was not until a large incisional biopsy was performed that showed the diagnosis of verrucous squamous cell carcinoma (VSCC) involving pre-existing sinuses of hidradenitis suppurativa (HS). VSCC arising in HS is very rare and often leads to death in published cases. This case demonstrates the challenge in pathological diagnosis of this condition which impacted time to treatment.

Download Full-text

Monophasic Synovial Sarcoma Arising in the Vulva: A Case Report and Review of the Literature

Archives of Pathology & Laboratory Medicine ◽

10.5858/2008-132-698-mssait ◽

2008 ◽

Vol 132 (4) ◽

pp. 698-702

Author(s):

Beverly E. White ◽

Alan Kaplan ◽

Dolores H. Lopez-Terrada ◽

Jae Y. Ro ◽

Robert S. Benjamin ◽

...

Keyword(s):

Synovial Sarcoma ◽

Soft Tissues ◽

English Literature ◽

Review Of The Literature ◽

First Case ◽

Additional Surgery ◽

Synovial Sarcomas ◽

The Right ◽

Disease Free ◽

Vulvar Mass

Abstract Synovial sarcomas most commonly arise in the soft tissue of the extremities. Less commonly, these tumors present in the head and neck, abdominal wall, and other sites. However, synovial sarcoma occurring in the vulvar area is extremely rare. Only 2 previous cases of biphasic synovial sarcoma of the vulva have been reported, but no case of vulvar monophasic synovial sarcoma has been described in the English literature. We report the third case of synovial sarcoma and apparently the first case of monophasic synovial sarcoma arising in soft tissues of the vulva. The patient was a 33-year-old woman who presented for evaluation of a painless vulvar mass. The tumor was located in the deep fibroadipose tissue of the right vulva (6.5 × 4.2 × 3.5 cm). The histology of the lesion was that of a monophasic synovial sarcoma with a hemangiopericytic vascular pattern. A subsequent molecular analysis revealed SYT-SSX2 gene fusion, which confirmed the diagnosis of synovial sarcoma. After an initial wide local excision, the patient developed a recurrence in the right groin and received chemotherapy and additional surgery. The patient is currently disease free, on adjuvant chemotherapy, and being followed up closely.

Download Full-text

Case Report: Prolapsed Ureterocele—A Differential Diagnosis of Urethral Cists

Case Reports in Urology ◽

10.1155/2020/2490129 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Francisco Renan Doth Sales ◽

Georgia Alexsandra Colantonio Dourado ◽

Ana Carolina Montes Ribeiro ◽

Humberto de Holanda Madeira Barros ◽

David Sucupira Cristino ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Urinary Tract ◽

Young Children ◽

Clinical Presentation ◽

Cystic Dilatation ◽

Distal Ureter ◽

Urethral Prolapse ◽

Infants And Young Children ◽

Vulvar Mass

Ureterocele is a cystic dilatation of submucosal distal ureter. It presents a higher incidence in infants and young children but is rare in adults. The urethral prolapse of ureterocele is extremely rare, and its clinical presentation includes vulvar mass, hematuria, and urinary tract dysfunction. We present a case of ureterocele prolapse in a 45-year-old woman who has a 3-day-evolution vulvar mass and intense urethral bleeding. The patient underwent armed cystoscopy and ureteroscopy, ureterocele resection, and biopsy. She evolved with good postoperative condition and was then discharged.

Download Full-text