Abstract
A 24-year-old African-American woman with no significant medical history presented with an enlarging mass on her right labium for two years. It had grown more rapidly in the past few months and occasionally bled. A gelatinous 5.5 × 6.5 cm polyp with surface ulceration on a 4 cm stalk was on the right labium majus (Figure 1). The patient was scheduled for surgical removal. Two clamps could be placed on the stalk before removing the lesion and using interrupted hemostatic sutures. Pathology report demonstrated a fibroepithelial stromal polyp (FSP) with surface ulceration and reactive atypia including koilocytic type changes (Figure 2). Human papillomavirus (HPV) testing on follow-up pap smear was negative. Fibroepithelial stromal polyp or “pseudosarcoma botryoides” were associated with elevated hormone levels and chronic inflammation. Due to the large size of this presentation, histologic evaluation was required to rule out angiomyxomas or other malignant conditions. There has been no recurrence to date.
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