Leiomyoma Of The Vulva

Year 2013, Volume: 10 Issue: 38, 1594 - 1595, 01.04.2013

Murat Öz Bülent Köstü Emre Özgü

Abstract

Vulval leiomyomas are rare tumors thought to arise from smooth muscle cells within erectile tissue or blood vessel walls or round ligaments remnants in the labium majus and they are clinically misdiagnosed as Bartholin cyst preoperatively. In our case, a 36-year-old woman presented with a 24 month history of painless swelling on her vulva. A surgical intervention was made with a preoperative diagnosis of Bartholin’s gland cyst. Pathological diagnosis was leiomyomas with hyalinised stroma. Major diagnostic problem with smooth muscle tumors of the vulva is the distinction between benign and malignant forms, since many vulval lesions have similar appearances making it difficult to distinguish benign from malignant lesions by gross inspection. The recommended treatment option is local excision of the mass with pathological examination.

Keywords

Vulva, leiomyoma, vulval tumor, Bartholin’s gland leiomyoma

Vulvada Leiomyoma Olgusu

Abstract

Vulval leiomyomlar nadir görülen, labium majusun erektil dokularındaki, kan damarlarının duvarlarındaki ya da round ligamentinin artıklarındaki düz kas dokusundan geliştiğine inanılan, preoperatif dönemde sıklıkla Bartholin kisti tanısı alan tümörlerdir. 36 yaşında 24 aydır vulvar bölgede ağrısız şişlik yakınma olan preoperatif Bartholin Kisti tanısı ile cerrahi girişim planlanan ve patolojik tanısı hyalinize stromaya sahip leimyom olarak değerlendirilen olgu sunulmaktadır. Vulval bölgedeki düz kas tümörlerinde en önemli tanısal problem benign ve malign formların ayrımında yaşanmaktadır, çünkü benign ve malign vulval mezenkimal tümörlerin büyük kısmının intraoperatif olarak ayırıcı tanısı yapılamayabilir. Önerilen tedavi seçeneği kitlenin lokal eksizyonu sonrası patolojik değerlendirilmesidir.

Keywords

Vulva, leiomyoma, vulva tümörü, Bartholin bezi leiomyomu

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