Lee Min Hee, Hwang Ji Young, Lee Jin Hee, Kim Dong Hoon, Song Seung Hun
Department of Obstetrics and Gynecology, Gumi CHA Hospital, CHA University, Gumi, Korea.
Department of Radiology, Gumi CHA Hospital, CHA University, Gumi, Korea.
Obstet Gynecol Sci. 2017 Jul;60(4):401-404. doi: 10.5468/ogs.2017.60.4.401. Epub 2017 Jul 14.
Fibroepithelial polyp (FEP) and lymphangioma circumscriptum (LC) of the vulva are rare diseases that occur generally in young to middle-aged women. The pathogenesis of FEP is not clearly understood. Several previous cases have suggested that a hormonal influence may be a predisposing condition for developing FEP with or without chronic inflammation. A 68-year-old postmenopausal woman presented with a history of multiple raised lesions on the vulva with a 1-year duration. Additionally, a pedunculated mass had appeared 6 months earlier in the left lower labia minora. The patient underwent simple excision by electrocautery. The final pathological diagnosis was FEP with LC. In this case, the development of FEP was associated only with chronic inflammation induced by LC. Therefore, the case supports the hypothesis that a chronic inflammatory process may be related to the development of FEP even without hormonal influence.
外阴纤维上皮性息肉（FEP）和局限性淋巴管瘤（LC）是罕见疾病，通常发生于中青年女性。FEP的发病机制尚不清楚。此前的一些病例表明，激素影响可能是发生FEP的易感因素，无论有无慢性炎症。一名68岁绝经后女性，有外阴多发隆起性病变病史，病程1年。此外，6个月前在左侧小阴唇出现一个带蒂肿物。患者接受了电灼单纯切除术。最终病理诊断为FEP合并LC。在本病例中，FEP的发生仅与LC所致的慢性炎症有关。因此，该病例支持以下假说：即使没有激素影响，慢性炎症过程也可能与FEP的发生有关。
