A huge fibro epithelial polyp of the vulva with myxoid stroma in Tunisian nulliparous woman

Rim Hadhri,Hayet Akkari,Hichem Belhadjali,Mouna Korbi,Monia Youssef,Montasser Amri,Awatef Hajjaji,Mariem Mohamed,Jameleddine Zili

doi:10.7241/ourd.20144.74

Abstract

Introduction: Fibroepithelial polyps are a type of mesenchymal lesion that typically occurs in women of reproductive age. These lesions can be polypoid or pedunculated and are usually solitary. They are typically asymptomatic and do not grow larger than 5 cm in diameter. However, there are few reported cases of giant fibroepithelial polyps of the vulva. In these cases, tumors cause usually symptoms including bleeding, discharge and general discomfort (with sensation of a mass). Case Report: Here we report a painful giant fibro epithelial polyp on the left labia majora in a 47-year-old Tunisian nulliparous woman. The mass was pedunculated, firm, 10cm in diameter. It was excised and the histological examination confirmed the diagnosis of fibro epithelial polyp with myxoid stroma and abcesses. Conclusion: The current case is characterized by huge fibro epithelial polyp of the vulva, rare disorder which may cause symptoms resulting from its size. Abcesses can be added to the main complications of these tumors such as bleeding, discharge and superficial ulceration.

Highlights

Fibro epithelial polyps are a type of mesenchymal lesion that typically occurs in women of reproductive age [3]
We report a case of a FEP on the left labia majora with myxoid stroma and complicated by multiple abcesses
Areas of dense inflammatory infiltrate of neutrophils forming abcesses were showed (Fig. 5). These findings are consistent with the diagnosis of vulvar fibroepithelial polyp with myxoid stroma and abcesses

Summary

Introduction

Fibroepithelial polyps are a type of mesenchymal lesion that typically occurs in women of reproductive age. A huge fibro epithelial polyp of the vulva with myxoid stroma in Tunisian nulliparous woman. Introduction Different types of tumors of the vulva are reported [1]. Fibromas are connective-tissue benign tumors that have multiple synonyms (naevus molluscum, acrochordon, templeton skin tag, and fibroepithelial polyp) [2]. Fibro epithelial polyps are a type of mesenchymal lesion that typically occurs in women of reproductive age [3].

Results

Conclusion