Giant Fibroepithelial Polyp of Vulva – A Rarest of its Occurrence

A Rao,Bc Shah,Sarang Degloorkar

doi:10.17659/01.2014.0066

Abstract

Fibro epithelial stromal polyps which are benign mesenchymal lesions that typically occur in skin, oral cavity, urinary tract and genital area pose diagnostic problems because of bizarre cytomorphology. Genital presentation has a greater predilection for the vulvovaginal region and rarely the cervix. Cases of fibro epithelial polyp in vulva have been rarely reported and usually they do not grow larger than 5 cm in diameter and are found incidentally during routine gynecologic exams. Diagnosis mainly based on histopathology has to be done to rule out malignancy and also to differentiate from other lesions like angiomyxoma which mimics fibro epithelial polyps. The case report presented is a rarest of its kind as regards to its size because the polyp in this patient measured 35x23x11 cm and weighing 10 kg which becomes the largest polyp reported ever.

Highlights

Fibro epithelial stromal polyps are a type of benign mesenchymal hormone sensitive lesions most commonly seen in pregnant women
Fibro epithelial stromal polyps are benign, mesenchymal lesions that typically occur in women of child-bearing age
These polyps have a predilection for the vulval region and they typically are small in size; they sometimes can grow as large as 10 kilograms and 35 cm in diameter as seen in our presenting case

Summary

Introduction

Fibro epithelial stromal polyps are a type of benign mesenchymal hormone sensitive lesions most commonly seen in pregnant women. Oral cavity, urinary tract, breast and genital area are common areas of presentation of which genital presentation is much more common and has a greater predilection for vulvovaginal region and rarely the cervix [1]. They can be seen in premenopausal females who are on hormone replacement therapy. Cases of fibro epithelial polyp in vulva have been reported and usually they do not grow larger than 5 cm in diameter. Because of their smaller size they are usually identified on routine gynecological examination only.

Discussion

Conclusion