alexa
Reach Us +44-1993-227344
A Large Fibroma Polyp of Labia Majoraandndash;A Case Report | OMICS International
ISSN: 2165-7920
Journal of Clinical Case Reports
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

A Large Fibroma Polyp of Labia Majora–A Case Report

Rehana Najam1*, Chowdhury HH1 and Seema Awasthi2
1Department of Obstetrics &Gynecology, Teerthanker Mahaveer Medical College, Teerthanker Mahaveer University, Moradabad, U.P, India
2Department of Pathology, Teerthanker Mahaveer Medical College, Teerthanker Mahaveer University, Moradabad, U.P, India
Corresponding Author : Rehana Najam
Department of Obstetrics & Gynecology
Teerthanker Mahaveer Medical College
Teerthanker Mahaveer University
Moradabad, U.P, India
E-mail: [email protected]
Received July 10, 2013; Accepted September 13, 2013; Published September 16, 2013
Citation: Najam R, Chowdhury HH, Awasthi S (2013) A Large Fibroma Polyp of Labia Majora–A Case Report. J Clin Case Rep 3:297. doi:10.4172/2165-7920.1000297
Copyright: © 2013 Najam R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Clinical Case Reports

Abstract

Vulval growths though rare, may be a cause of social withdrawal and emotional drain, apart from causing physical signs and symptoms. Treatment is excision and removal, recurrence is rare. We present an interesting case of a large pedunculated, fibroma of the labia majora in a middle aged woman. The tumor was excised and subjected to histopathological examination which revealed it to be a Fibroma.

Introduction
Tumors of the vulva are rare. Apart from malignant tumours, fibromas are the most common benign tumour of vulva though these occur very rarely. They are a cause of great emotional and social disturbance in female patients. Different cases of vulval fibroma have been reported in literature and often lead to psychological upset in patients. This case report describes a unique case of huge fibroma of vulva in a middle aged woman.
Case Report
A 46 year old para one patient presented in the gynecological Out Patient Department of our hospital with a painless, soft to firm pedunculated mass with a wrinkled surface arising from her left labia major a which had been present for the past 7 years. The patient had dyspareunia, bleeding from the ulcer, difficulty in walking and due to ensuing embarrassment stopped participating in social events. On examination the peduncle was 10 cm long and 2.5 cm thick and the mass was 18 cm long 15 cm wide and 8 cm thick. The swelling was nodular and a pressure sore was present (Figure 1). On per speculum examination vaginal candidiasis was present and pervaginum examination was normal.
No lymph nodes were palpable in the vulval and inguinal regions. Her investigation was normal. She was admitted with a provisional diagnosis of benign vulval fibroma. The mass was excised along with the stalk under regional anaesthesia. Histo pathological examination confirmed this to be a fibroma of vulva (Figure 2).
Discussion
Vulval fibroma is a rare benign tumour that is predominantly found in women of reproductive age group. Though they have been reported in infants, post menopausal and pregnant women [1], the tumor may arise from either the deep connective tissue of introitus, labia majora , perineal body or round ligament [2,3]. To start with, the tumor may be asymptomatic but has the potential to grow to huge sizes. Apart from causing physical signs due to its size and location, the tumor causes extreme emotional upheaval and social withdrawal, especially in a conservative society like ours. Important differential diagnosis includes Lipoma, Inguinal hernia, vulvovaginal cysts, vulval elephantiasis, and fibro epitheloid tumours [2]. Although different psychosocial problems have been reported, but patients in India, try to conceal it. This patient reported to us only because of bleeding from the ulcer and difficulty in walking due to the huge size of the tumor.
Despite being benign in nature, it leads to dyspareunia, difficulty in walking emotional and psychological disturbances. Vulval fibroma may recur after incomplete removal [4,5].
References

Figures at a glance

Figure Figure
Figure 1 Figure 2
Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Article Usage

  • Total views: 14829
  • [From(publication date):
    August-2013 - Nov 16, 2018]
  • Breakdown by view type
  • HTML page views : 11006
  • PDF downloads : 3823
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri and Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version