Abstract
Giant Vulvar Leiomyoma: Successful Management in a Poor Setting of a Common Neoplasm in an Uncommon Site
Highlights
Vulvar tumors are infrequent; amongst them, malignant lesions are extremely rare, squamous cell carcinoma being the commonest [1]
Benign neoplastic lesions encountered in vulvar are: melanocytic nevi, hemangiomas, seborrheic keratosis, hidradenomas, neurofibromas, leiomyomas, vulvar cyst, angiomyxoma and fibroadenoma [2,3,4]
Leiomyoma or fibroid though very commonly seen in the uterus is a rare entity in vulva with an incidence of 4.2% [5]
Summary
Vulvar tumors are infrequent; amongst them, malignant lesions are extremely rare, squamous cell carcinoma being the commonest [1]. A 36-year-old Gravida 8 Para 8 Cameroonian female was received during a free mass health campaign organized by our department in a remote and isolated region of the country, with a complain of vulvar swelling. This was noticed initially as a small non-traumatic vulvar mass 10-year ago which gradually increased to present size. Previous medical and familial history was not contributive to the present illness On examination, her general condition was fair and vital signs were stable. The overlying excess skin was excised and the wound closed; but we noticed an eversion of the vaginal mucosa (Figure 3A).
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