Leiomiomul vaginal: prezentare de caz şi review narativ

Abstract

Leiomyoma is one of the most common tumors of mesenchymal origin, being detected in 70% of women of reproductive age. Vaginal leiomyoma (VL) refers to quite rare tumors. To date, about 300 cases of VL have been published in the English language specialized literature. We present the case of a 25-year-old patient, complaining of vaginal discomfort and periodic pains of varying intensity. Ultrasonography examination revealed a 21.9x17.6 mm hypoechoic mass on the anterior vaginal wall, normal-sized uterus, and normal bilateral adnexa. MRI examination determined a 25x18x22 mm isointense solid tumor in the fornix (the left side of the cranial part of the vagina), clearly dissociated from the surrounding tissues. Surgical enucleation was performed. Histopathology testing of the specimen revealed that it was a leiomyoma of the vagina. A clinical examination at a follow-up consultation, after 14 months, showed that her vagina was normal. We also present a brief review of the English language literature on the features of diagnosis and treatment methods for vaginal leiomyoma.