Rexhepi Meral, Trajkovska Elizabeta, Besimi Florin, Rufati Nagip
Department of Gynecology and Obstetrics, Clinical Hospital, Tetovo, Republic of Macedonia.
Faculty of Medical Sciences, University of Tetovo, Republic of Macedonia.
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2018 Dec 1;39(2-3):127-130. doi: 10.2478/prilozi-2018-0051.
Fibroepithelial stromal polyps of vulva are the type of mesenchymal lesion that typically occurs in women of reproductive period. They are common, usually small and hystologically benign. Larger lesions are rare and likely arise from proliferation of mesenchymal cells within the hormonally sensitive subepithelial stromal layer of the lower genital tract. We present a case of 16 year old female with a giant polypoid lesion of the vulva localized on the right labium. The mass measure was 18×12×3 cm. Total surgical resection of the lesion was performed. Histopathological examination reported a fibroepithelial stromal polyp of the vulva. The patient showed no evidence of recurrence four years after the resection. Fibroepithelial polyps of the vulvar region are benign lesions that have a wide range of morphologic appearances and may be misinterpreted as malignant. Total excision is the best treatment options and histopathological examination is strongly recommended to rule out a malignant neoplasm.
外阴纤维上皮性间质息肉是一种间质性病变，通常发生在育龄期女性。它们很常见，通常较小，组织学上为良性。较大的病变很少见，可能源于下生殖道激素敏感的上皮下间质层中间质细胞的增殖。我们报告一例16岁女性，其右侧阴唇有一个巨大的息肉样外阴病变。肿块大小为18×12×3厘米。对病变进行了手术全切。组织病理学检查报告为外阴纤维上皮性间质息肉。切除术后四年，患者无复发迹象。外阴区域的纤维上皮性息肉是良性病变，具有广泛的形态学表现，可能被误诊为恶性肿瘤。手术全切是最佳治疗选择，强烈建议进行组织病理学检查以排除恶性肿瘤。
