Erişkin Bir Hastada Nadir Görülen Sıradışı Büyük Vulvar Soft Fibrom Olgusu: Olgu Sunumu

25 yaşında kadın hasta kliniğimize dış genital bölgede büyüyen kitle şikayeti ile başvurdu. Hastanın şikayeti 10 yıl önce sağ labia majorada küçük bir papillomatöz lezyon olarak başlamış ve ilk semptomdan 2-3 yıl sonra giderek artan şekilde 20-30 cm olarak günümüz büyüklüğüne ulaşmıştır. Kitleye vulvar soft fibrom ön tanı konuldu ve cerrahi eksizyona karar verildi. Histopatolojik bulgular fibroepitelyal polip ile uyumluydu. Hastanın postoperatif komplikasyonu yoktu ve postoperatif 3. ayda yapılan son değerlendirmede rezidü veya rekürrens yoktu.

An Unusual Case of Large Vulvar Soft Fibroma In An Adult Patient: A Case Report

A 25-year-old female patient applied to our clinic with a complaint of a growing mass in external genitalia. Patient’s complaint began 10 years ago as a small papillomatous lesion in the right labia majora, which increased in size progressively reaching to present size of 20-30 cm in 2-3 years after the first symptom. The mass was prediagnosed as vulvar soft fibroma, and surgical excision was decided. The histopathological findings were compatible with fibroepithelial polyp .The patient had no postoperative complication, and there was no residue or recurrence at the last assessment on postoperative 3rd month.

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  • AbdullGaffar B, Keloth TR, Raman LG, et al.. Unusual benign polypoid and papular neoplasms and tumor-like lesions of the vulva. Ann Diagn Pathol 2014; 18:63-70.
  • Bagga R, Dhaliwal LK, Gupta I, Kalra N, Rajwanshi A. Pedunculated cavernous lymphangioma of the vulva. Acta Obstet Gynecol Scand 2004; 83:1095-6.
  • Basbug M, Tayyar M, Erdogan N. Fibroma of the vulva and uterine leiomyoma. Int J Gynaecol Obstet 1997; 59:55-6.
  • Berlin M, Berlin S. Fibroma of the vulva: a case report. J Reprod Med 2007; 52:533-4.
  • Chen DC, Chen CH, Su HY, et al. Huge pedunculated fibroma of the vulva. Acta Obstet Gynecol Scand 2004; 83:1091-2.
  • Gagnier JJ, Kienle G, Altman DG, et al. The CARE guidelines: consensus-based clinical case report guideline development. J Clin Epidemiol. 2014;67(1):46-51.
  • Filho LLL, Lopes IMRS, Filho ESF, et al. Giant soft fibroma located in the vulva: a case report. Surg Cosmet Dermatol 2012; 4:200-2.
  • Goldrat O, Lingier P, Massez A, Noël JC. Prepubertal vulvar fibroma: neoplasm or physiological condition? J Pediatr Adolesc Gynecol 2016;29: e67-e70.
  • Heller DS. Benign papular lesions of the vulva. J Low Genit Tract Dis 2012; 16:296 305.
  • Heller DS. Benign tumors and tumor-like lesions of the vulva. Clin Obstet Gynecol 2015;58: 526-35.
  • Isoda H, Kurokawa H, Kuroda M, et al. Fibroma of the vulva. Comput Med Imaging Graph 2002; 26:139-42.
  • Iwasa Y, Fletcher CD. Distinctive prepubertal vulvar fibroma: a hitherto unrecognized mesenchymal tumor of prepubertal girls: analysis of 11 cases. Am J Surg Pathol 2004; 28:1601-8.
  • Jayi S, Laadioui M, El Fatemi H,, et al. Vulvar lipoma: a case report. J Med Case Rep 2014; 8:203.
  • Kim HS, Kim SM, Lee JD. A Pedunculated Mass on the Thigh. Am Fam Physician 2016; 94:1003-1004.
  • Lee MH, Hwang JY, Lee JH, Kim DH, Song SH. Fibroepithelial polyp of the vulva accompanied by lymphangioma circumscriptum. Obstet Gynecol Sci 2017; 60:401-4.
  • Maldonado VA. Benign vulvar tumors. Best Pract Res Clin Obstet Gynaecol 2014; 28:1088-97.
  • McCluggage WG. A review and update of morphologically bland vulvovaginal mesenchymal lesions. Int J Gynecol Pathol 2005; 24:26-38.
  • Najam R, Chowdhury HH, Awasthi S. A Large Fibroma Polyp of Labia Majora–A Case Report. J Clin Case Rep 2013; 3:297.
  • Nibhoria S, Tiwana KK, Yadav A. Vulvar syringoma: a rare case report. J Clin Diagn Res 2014;8: FD06.
  • Nucci MR, Fletcher CD. Vulvovaginal soft tissue tumours: update and review. Histopathology 2000; 36:97-108.
  • Pelit FÇ, Pelit ES. A giant pedunculated fibroma of labia majora: a case report. Göztepe Tıp Dergisi 2014; 29:239-21.
  • Velemínský M Jr. Extremely large vulvar fibroma in a 15-year-old girl. Neuro Endocrinol Lett 2012; 33:600-2.