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外阴巨大纤维上皮性息肉:一例报告。

A giant fibro epithelial polyp of the vulva: A case report.

作者信息

Tsegaye Mesfin Ayalew, Ayano Solomon Muleta, Mekuriaw Samuel Ayalsew, Adugna Alemayehu Nigusssie, Tesfay Rebecca Haile, Biza Negusu Kasa

机构信息

Dilla University, College of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Dilla, Ethiopia.

Dilla University, College of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Dilla, Ethiopia.

出版信息

Int J Surg Case Rep. 2025 Feb;127:110955. doi: 10.1016/j.ijscr.2025.110955. Epub 2025 Jan 25.

Abstract

INTRODUCTION AND IMPORTANCE

Fibroepithelial polyps are benign growths that can occur in various anatomical locations, including the vulva. They typically present as asymptomatic skin tags that progressively increase in size.

CASE PRESENTATION

We report the case of a 30-year-old woman, para 3, who presented with a giant fibroepithelial polyp originating from the right labium majora. The mass, which developed over three years, measured 10 cm × 10 cm × 10 cm, with a long stalk extending 20 cm. The patient reported no associated pain or discharge and had no significant medical history. Clinical evaluation revealed a firm, pedunculated mass without regional lymphadenopathy. Investigations, including HIV testing and cytology, confirmed the benign nature of the lesion.

CLINICAL DISCUSSION

Fibro epithelial polyps may mimic malignancy. Hence histopathological examination is essential. Surgical resection remains the standard treatment, and careful follow-up is essential to monitor for recurrence, particularly in cases with incomplete resection or ongoing hormonal exposure.

CONCLUSION

This case highlights the importance of recognizing fibroepithelial polyps as potential causes of vulvar masses.

摘要

引言与重要性

纤维上皮性息肉是一种良性肿物,可发生于包括外阴在内的各种解剖部位。它们通常表现为无症状的皮赘,且会逐渐增大。

病例介绍

我们报告一例30岁经产妇,其右侧大阴唇出现一个巨大的纤维上皮性息肉。该肿物在三年间逐渐形成,大小为10厘米×10厘米×10厘米,有一条20厘米长的长蒂。患者自述无相关疼痛或分泌物,且无重大病史。临床评估发现一个质地硬、有蒂的肿物,无区域淋巴结肿大。包括HIV检测和细胞学检查在内的各项检查证实了该病变的良性性质。

临床讨论

纤维上皮性息肉可能类似恶性肿瘤。因此,组织病理学检查至关重要。手术切除仍是标准治疗方法,仔细随访对于监测复发情况至关重要,尤其是在切除不完全或持续存在激素暴露的病例中。

结论

本病例凸显了将纤维上皮性息肉识别为外阴肿物潜在病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89e9/11800107/e1034876496d/gr1.jpg

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