Abstract
Introduction: Vulvar leiomyomas are rare and usually misdiagnosed as Bartholin’s cyst on initial presentation. Leiomyoma of vulva accounts for only 0.03% of all gynecological neoplasm. Definite diagnosis is based on surgical excision of the tumor. The aim of this report is to introduce a case of leiomyoma of the vulva which was initially misdiagnosed as Bartholin’s cyst.
Case Presentation: We present a case of a 36-year old virgin female (BMI>30) who was referred to the clinic with a 5-year history of left labial mass which was initially diagnosed as Bartholin’s cyst. The mass was removed and the pathologist confirmed that the final diagnosis was vulvar leiomyoma.
Conclusion: Vulvar leiomyoma is usually misdiagnosed with Bartholin cyst and distinguishing between benign and malignant forms is confusing, so it is a diagnostic challenge. Surgical excision is the treatment of choice in all smooth muscle tumors of the vulva. Continuing follow-up after treatment is highly recommended.
Keywords: Vulva, leiomyoma, bartholin's cyst, diagnosis, women, case report.
Graphical Abstract
[http://dx.doi.org/10.1148/rg.287085095] [PMID: 19001649]
[PMID: 23404606]
[http://dx.doi.org/10.1080/08998280.2014.11929043] [PMID: 24381397]
[http://dx.doi.org/10.18203/2320-1770.ijrcog20164682]
[http://dx.doi.org/10.1155/2014/386432] [PMID: 24660079]
[http://dx.doi.org/10.1111/j.1447-0756.2011.01787.x] [PMID: 22486791]
[http://dx.doi.org/10.1155/2015/894830] [PMID: 26185695]
[http://dx.doi.org/10.1097/00000478-199607000-00001] [PMID: 8669526]
[http://dx.doi.org/10.1016/S0029-7844(97)00409-2] [PMID: 11770602]
[http://dx.doi.org/10.1155/2016/8780764] [PMID: 27818815]