TY - JOUR
T1 - Giant Fibroepithelial Polyps of the Vulva in a Woman with Uterine Myoma and Primary Infertility
T2 - A Case Report and Literature Review
AU - Kurniawati, Eighty Mardiyan
AU - Djunaidi, Fauzan
AU - Kurniasari, Nila
N1 - Publisher Copyright:
© 2022, International Scientific Information, Inc.. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Objective: Rare disease Background: Reproductive health is closely related to long-term quality of life and maternal well-being in obstetrics. The overall incidence of fibro-epithelial polyps in the general population is about 46%, but a location on the vulva is quite rare, and is very rare when the size is more than 5 cm. Case Report: A 23-year-old woman reported irregular bleeding and a mass on the vulva. After anamnesis, physical examination, biopsy, and radiology imaging, the patient was diagnosed with uterine myoma, primary infertility, and a large solid and benign mass on the vulva. The mass found on the vulva was apparently unrelated to intraabdominal organs and urogynecology. After performing an excision accompanied by a laparoscopic myomectomy, the histopathological results showed that the mass on the vulva was a 16×11×6 cm fibroepithelial polyp weighing 700 g. After 7 months of therapy, the submucosal uterine myoma recurred. Submucosal uterine myomas were found rooted into the vaginal canal, so the surgeon performed an extirpation operation. Eight months later, the patient succeeded in having a pregnancy that ended in delivery by cesarean section. Conclusions: Giant fibroepithelial polyps are very rare. Management is by excision accompanied by a laparoscopic myomectomy. They affect reproductive health and require appropriate management and diagnosis.
AB - Objective: Rare disease Background: Reproductive health is closely related to long-term quality of life and maternal well-being in obstetrics. The overall incidence of fibro-epithelial polyps in the general population is about 46%, but a location on the vulva is quite rare, and is very rare when the size is more than 5 cm. Case Report: A 23-year-old woman reported irregular bleeding and a mass on the vulva. After anamnesis, physical examination, biopsy, and radiology imaging, the patient was diagnosed with uterine myoma, primary infertility, and a large solid and benign mass on the vulva. The mass found on the vulva was apparently unrelated to intraabdominal organs and urogynecology. After performing an excision accompanied by a laparoscopic myomectomy, the histopathological results showed that the mass on the vulva was a 16×11×6 cm fibroepithelial polyp weighing 700 g. After 7 months of therapy, the submucosal uterine myoma recurred. Submucosal uterine myomas were found rooted into the vaginal canal, so the surgeon performed an extirpation operation. Eight months later, the patient succeeded in having a pregnancy that ended in delivery by cesarean section. Conclusions: Giant fibroepithelial polyps are very rare. Management is by excision accompanied by a laparoscopic myomectomy. They affect reproductive health and require appropriate management and diagnosis.
KW - Infertility
KW - Myoma
KW - Vulvar Diseases
UR - http://www.scopus.com/inward/record.url?scp=85122857611&partnerID=8YFLogxK
U2 - 10.12659/AJCR.933198
DO - 10.12659/AJCR.933198
M3 - Article
AN - SCOPUS:85122857611
SN - 1941-5923
VL - 23
JO - American Journal of Case Reports
JF - American Journal of Case Reports
IS - 1
M1 - e933198
ER -