Thanasa Efthymia, Thanasa Anna, Kontogeorgis Gerasimos, Gerokostas Ektoras-Evangelos, Antoniou Ioannis-Rafail, Chasiotis Athanasios, Xydias Emmanouil M, Ziogas Apostolos C, Kamaretsos Evangelos, Thanasas Ioannis
Department of Histology, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Department of Anatomy, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Cureus. 2024 Feb 28;16(2):e55157. doi: 10.7759/cureus.55157. eCollection 2024 Feb.
Vaginal fibroepithelial polyps are rare benign tumors of the mucosa of the anterior vaginal wall. In extremely rare cases, they may originate from the posterior vaginal wall or be complicated by torsion. Our case concerns a 63-year-old patient who presented to the gynecology outpatient clinic of the General Hospital of Trikala with minor vaginal bleeding. On vaginal examination, a large pedunculated painless hemorrhagic polypoid mass was noticed, originating from the posterior vaginal wall. A torsion of the pedunculated vaginal tumor was suspected, leading to its surgical excision with clear resection margins. Due to extensive tissue necrosis, accurate histological identification of the vaginal neoplasm was not possible. Histological examination excluded vaginal malignancy. Based predominantly on the clinical and morphological features of the vaginal lesion, a diagnosis of vaginal fibroepithelial polyp with torsion was made, acknowledging its limitations. The patient was discharged from the clinic the same afternoon following the surgery. Three months later, no recurrence of the lesion in the vaginal wall was noted. Following the case presentation, this paper provides a brief literature review of this rare entity, focusing on the diagnostic and therapeutic approaches.
阴道纤维上皮性息肉是阴道前壁黏膜罕见的良性肿瘤。在极其罕见的情况下，它们可能起源于阴道后壁或并发扭转。我们的病例是一位63岁的患者，因少量阴道出血到特里卡拉总医院妇科门诊就诊。阴道检查时，发现一个大的有蒂无痛出血性息肉样肿物，起源于阴道后壁。怀疑有蒂的阴道肿瘤发生扭转，遂进行手术切除，切缘清晰。由于广泛的组织坏死，无法对阴道肿瘤进行准确的组织学鉴定。组织学检查排除了阴道恶性肿瘤。主要基于阴道病变的临床和形态学特征，做出了伴有扭转的阴道纤维上皮性息肉的诊断，同时也认识到其局限性。患者在手术后当天下午出院。三个月后，未发现阴道壁病变复发。在病例报告之后，本文对这一罕见疾病进行了简要的文献综述，重点关注诊断和治疗方法。
