Cebesoy Fatma Bahar, Kutlar Irfan, Aydin Abdullah
Department of Obstetric and Gynecology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.
J Low Genit Tract Dis. 2008 Jan;12(1):35-7. doi: 10.1097/LGT.0b013e3181255e85.
Vulvar hemangioma is an extremely rare pathology in adult women causing sexual dysfunction, pain, and cosmetic problems requiring therapeutic intervention.
We present a case of an isolated giant vulvar cavernous hemangioma with a 2-year history that macroscopically seemed to be a vulvar varicosis but was actually detected at the end to be cavernous hemangioma in an adult patient with no history of other disease.
The patient was treated with surgical excision because of progressive complaints. Histopathologic evaluation suggested cavernous hemangioma.
Hemangiomas can undergo spontaneous involution; thus, treatment may be reserved for those lesions of functional or psychological concern. In this case, surgical correction was used both as a diagnostic method and as a therapeutic intervention because of progressive complaints such as pain, feeling of pressure, and sexual dysfunction.
外阴血管瘤在成年女性中是一种极其罕见的病理情况，可导致性功能障碍、疼痛及美容问题，需要进行治疗干预。
我们报告一例孤立性巨大外阴海绵状血管瘤病例，病程2年，肉眼观似外阴静脉曲张，但最终在一名无其他疾病史的成年患者中被诊断为海绵状血管瘤。
由于症状逐渐加重，该患者接受了手术切除治疗。组织病理学评估提示为海绵状血管瘤。
血管瘤可自然消退；因此，治疗可仅针对那些涉及功能或心理问题的病变。在此病例中，由于出现疼痛、压迫感及性功能障碍等进行性症状，手术矫正既作为一种诊断方法，也作为一种治疗干预手段。
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