Leiomyoma of the anterior vaginal wall: a rare case (original) (raw)
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Vaginal Wall Leiomyoma: A Case Report
Journal of Bangladesh College of Physicians and Surgeons
Vaginal wall leiomyoma is rare. They are typically located in the anterior or lateral wall of the vagina. Approximately 301 cases have been reported in the literature. Usually patients with vaginal leiomyoma present with a mass per vaginum or dyspareunia or pressure symptoms on the urinary tract. However, sometimes it is difficult to diagnose preoperatively because of an unusual presentation. History and a careful clinical examination may help to rule out malignancy. Here, we report a case of vaginal leiomyoma which was incidentally identified during routine gynecological check up of a 36-year-old multiparous lady as a large, solid, painless mass in the left vaginal wall. The overlying mucosa moved freely over the mass. The USG revealed nothing abnormal in the pelvic organs. Surgical enucleation was done vaginally and subsequent histopathology showed irregular and whorling bundles of smooth muscle cells confirming vaginal leiomyoma.
Vaginal Leiomyoma - a Rare Case Report
Journal of Evolution of Medical and Dental Sciences, 2017
BACKGROUND Leiomyomas are common benign tumours of uterus. Vaginal leiomyomas are rare benign solid tumours with only 330 cases reported in literature till now. The clinical features which they present are variable. Here, we report 2 cases of anterior vaginal wall leiomyoma and their surgical removal through vaginal approach.
Vaginal Leiomyoma: A Case Report
2011
Vaginal tumours are rare and include papilloma, hemangioma, mucus polyp, and rarely leiomyoma. Vaginal leiomyomas remain an uncommon entity with only about 300 reported cases since the first detected case back in 1733 by Denys de Leyden. These tumors arise most commonly from the anterior vaginal wall causing varied clinical presentations. They may or may not be associated with leiomyomas elsewhere in the body. A case of a 30 year old nulliparous lady presented with a cauliflower like growth outside the introitus covering the external genitalia. It is a firm growth with a short pedicle arising from the anterior vaginal wall close to the urethral meatus. Biopsy from the growth revealed diffuse sheets of polymorphs, lymphocytes and congested capillaries. Excision of the growth was done and the histopathological examination revealed fibroleiomyoma. Leiomyomas are common benign tumors in the uterus. However, vaginal leiomyomas remain an uncommon entity. Vaginal leiomyomas may present wit...
Vaginal Leiomyoma: Case Report and Literature Review
The Journal of South Asian Federation of Menopause Societies
Introduction: Leiomyoma arising from the vagina is a rare entity with varied presentations. Case Report: A woman 44 years of age presented with complaints of something coming out vaginally, polymenorrhea, and pain in abdomen. A mass arising from the right posterolateral wall of vagina was seen. Ultrasound reported it to be cervical fibroid. The mass was enucleated through vaginal route. Histopathology confirmed it to be a leiomyoma. Review of literature revealed that it has a varied presentation. Diagnosis is often missed. Conclusion: The condition should always be kept in mind whenever coming across any mass in vagina.
Leiomyoma of the vagina: An unusual presentation
Journal of Obstetrics and Gynaecology Research, 2003
Vaginal leiomyomas are rare. They usually arise from the anterior vaginal wall. We report a case of a vaginal leiomyoma arising from the right lateral wall that presented as a gluteal swelling with pus discharging per vagina, creating a clinical dilemma in diagnosis. Preoperative imaging and biopsy may help to rule out malignancy. The size of the tumor necessitated abdominoperineal approach and hysterectomy for better surgical access. To the best of our knowledge such a clinical presentation of a vaginal leiomyoma has not been reported in the literature.
Journal of Ayub Medical College Abbottabad, 2003
A vaginal leiomyoma is normally a benign smooth muscle tumour in the vagina. These tumours are extremely rare and the aetiology is unknown. The imaging findings are those of a nonspecific well-defined enhancing soft tissue mass centred on the vagina. The lesion may be very large, but is usually under 6 cm in size. Patients are asymptomatic in the early stages. Symptoms arise with the growth of tumour mainly due to compression. Most leiomyomas are not diagnosed clinically but only on histological examination. A case of primary leiomyoma of vagina is presented here.
Vaginal leiomyoma: medical imaging and diagnosis in a resource low tertiary hospital: case report
BMC Women's Health
Background: In the literature under review there are about 300 reported cases of vaginal leiomyomas with none from Cameroon. We report a case of vaginal leiomyoma and highlight the diagnostic challenges faced at the Douala Referral Hospital (DRH), Cameroon. Case presentation: A 36-year-old G3P3002 sexually active Cameroonian married woman reported dysuria, dyspareunia, cessation of sexual intercourse and offensive smelling vaginal discharge for 6 months and a 3-year history of a vaginal tumour; she was misdiagnosed despite ultrasonography and magnetic resonance imaging (MRI) but was corrected by an experienced radiologist. She underwent first look laparoscopy, surgical excision of the tumour through the vagina and histopathology analysis that confirmed leiomyoma. Conclusion: Posterior location of vaginal leiomyomas found in this case is a rare occurrence. The diagnosis is based on careful examination and preoperative imaging (ultrasonography and MRI). However, the definitive diagnosis is usually made intra-operatively. We combined laparoscopic exploration of the internal genital organs and per vaginal excision of the vaginal leiomyoma. Thus, we recommend frozen section biopsy to exclude leiomyosarcoma.
Cases Journal, 2009
Leiomyomas are benign tumours commonly occurring in the uterine wall. They are rarely seen in the vaginal wall leading to pressure symptoms on urinary tract. Indentation of leiomyoma from anterior vaginal wall into the bladder is rare and hence we report one such case. A 55 year old Caucasian woman presented to urology clinic with recurrent Urinary tract infection and pressure symptoms. After the diagnosis of a vaginal mass, she was referred to Gynaecology clinic. During the excision of the vaginal mass its indentation into the bladder was noted. Histology report confirmed the diagnosis of benign leiomyoma.
Vaginal leiomyoma co-existing with broad ligament and multiple uterine leiomyomas
Archives of Gynecology and Obstetrics, 2001
A 48 year old African American woman presented with bladder pressure leading to the diagnosis of broad ligament and multiple uterine leiomyomas. She was also found to have a lateral vaginal wall mass which was confirmed to be a leiomyoma. Unlike uterine leiomyomas, vaginal leiomyomas are uncommon and are most often found in Caucasian women. Cases of such coexisting tumors are rare and their etiologic relationship is uncertain.
Leiomyoma of the vulva: a diagnostic challenge
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2018
Smooth muscle tumours of vulva are rare and therefore can be missed clinically. Our patient, 48-year-old lady presented with lump in the left vulva that was clinically diagnosed as Bartholin duct cyst. The lumpectomy was done under local anaesthesia and the lesion was sent for pathological examination. On gross examination the mass was 3.5 cm in diameter. The microscopic examination revealed the lump to be leiomyoma and no necrosis or atypia was present. The final diagnosis of “vulval leiomyoma” was given. Postoperative period was uneventful, and the patient is on regular follow up and there has been no recurrence. Leiomyoma should be kept as a differential diagnosis when a lady presents in late reproductive age group with unilateral swelling in vulvar region which is firm in consistency and the lump must be sent for histopathological examination for definitive diagnosis and rule out malignancy. The pathologists play a critical role in recognition and management of smooth muscle tum...