Ghewade Prajakta, Vagha Sunita, Gadkari Pravin
Pathology, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2024 Aug 18;16(8):e67141. doi: 10.7759/cureus.67141. eCollection 2024 Aug.
Vulval leiomyomas are exceedingly rare benign smooth muscle tumours, with limited cases reported in the literature. They often present a diagnostic challenge due to their uncommon location and nonspecific clinical presentation, mimicking other vulval pathologies. We present the case of a 40-year-old female who reported a painless, slowly enlarging mass on the left side of the vulva. An excisional biopsy was performed, and histopathological analysis confirmed the diagnosis of vulval leiomyoma. Vulval leiomyomas are rare and may be misdiagnosed due to their similarity to other vulval lesions such as Bartholin cysts, lipomas, or fibromas. The standard treatment is surgical excision, which is often curative.
外阴平滑肌瘤是极其罕见的良性平滑肌肿瘤,文献报道的病例有限。由于其位置不常见且临床表现不具特异性,常与其他外阴病变相似,因此在诊断上颇具挑战。我们报告一例40岁女性病例,该患者自述外阴左侧有一无痛性、逐渐增大的肿块。进行了切除活检,组织病理学分析确诊为外阴平滑肌瘤。外阴平滑肌瘤较为罕见,因其与其他外阴病变如巴氏腺囊肿、脂肪瘤或纤维瘤相似,可能会被误诊。标准治疗方法是手术切除,通常可治愈。