Aljehani Ala M, Quatei Amani, Qattea Lina, Aljohani Renad M, Alkushi Abdulmohsen
Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Obstetrics and Gynecology, King Fahad Medical City, Riyadh, SAU.
Cureus. 2021 Oct 14;13(10):e18772. doi: 10.7759/cureus.18772. eCollection 2021 Oct.
Vulvar leiomyosarcoma is a rare smooth muscle malignant neoplasm but it is the commonest type of vulvar sarcomas. It may mimic benign tumors and misdiagnosis could delay proper management. We report a case of a 38-year-old pregnant woman with leiomyosarcoma of the vulva. The patient presented to her primary general practitioner with a small vulvar mass that she had first noticed one year prior. The tumor was suspected to be benign Bartholin's cyst and treated with antibiotics. The patient declined improvement and had many consultations to different clinics where she had been diagnosed and treated the same. The tumor size started to grow rapidly after she got pregnant, and the patient was referred to our hospital where she underwent tumor resection. Histopathology revealed leiomyosarcoma. The patient had further assessment and close follow-up and has had no recurrence for 12 months. There is little literature available on vulvar leiomyosarcoma, most of which are case reports, and most gynecologic oncologists will go through their whole careers without seeing a single case.
外阴平滑肌肉瘤是一种罕见的平滑肌恶性肿瘤，但却是最常见的外阴肉瘤类型。它可能会模仿良性肿瘤，误诊可能会延误正确的治疗。我们报告一例38岁的外阴平滑肌肉瘤孕妇病例。患者因一年前首次发现的外阴小肿块就诊于她的初级全科医生。该肿瘤被怀疑是良性巴氏腺囊肿，并接受了抗生素治疗。患者病情未见好转，在不同诊所进行了多次会诊，在那里她得到了相同的诊断和治疗。怀孕后肿瘤大小开始迅速增长，患者被转诊至我院，在我院接受了肿瘤切除术。组织病理学显示为平滑肌肉瘤。患者接受了进一步评估和密切随访，12个月来无复发。关于外阴平滑肌肉瘤的文献很少，其中大部分是病例报告，大多数妇科肿瘤学家在其整个职业生涯中可能都不会见到一例。
