LIPOMA VULVAR PDF

Vulvar lipoma is said to be so rare that only a few cases have been reported. We present two cases of vulvar lipoma that were diagnosed within six months in our centre in a 28 year-old para 2 and 35 year-old para 1 woman both of whom presented with slow-growing masses in the vulva. A detailed discussion of the clinical features and current management options are outlined, with emphasis on the need to subject all excised lesions to histopathological evaluation; to ensure accurate diagnosis and differentiate this benign swelling from cystic swellings and malignant neoplasms in the vulva. Lipomas constitute the most common soft tissue tumors. We present these cases, discuss the clinical features and current management options available for this vulvar pathology, and emphasise the need for histopathological evaluation of all excised lesions, where facilities allow.

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Vulvar lipoma is said to be so rare that only a few cases have been reported. We present two cases of vulvar lipoma that were diagnosed within six months in our centre in a 28 year-old para 2 and 35 year-old para 1 woman both of whom presented with slow-growing masses in the vulva.

A detailed discussion of the clinical features and current management options are outlined, with emphasis on the need to subject all excised lesions to histopathological evaluation; to ensure accurate diagnosis and differentiate this benign swelling from cystic swellings and malignant neoplasms in the vulva.

Lipomas constitute the most common soft tissue tumors. We present these cases, discuss the clinical features and current management options available for this vulvar pathology, and emphasise the need for histopathological evaluation of all excised lesions, where facilities allow.

Case 1: A year-old para 2 presented to our department with a painless and slow-growing right vulvar mass of six months duration. She felt uncomfortable anytime she wore tight-fitting underwear. Physical examination revealed a single, soft, non-tender, and doughy mass in the right labium majus that measured about seven by five centimetres cm in its widest dimensions. Case 2: A year-old para1 woman was referred to our centre with a slow-growing left vulvar mass of a year's duration.

Examination revealed a pedunculated, soft, non-tender and non-fluctuant vulvar mass located on the upper two-thirds of the left labium majus, measuring about ten by seven cm and covering the entire introitus of the vagina Figure 1 ; the urethral orifice appeared normal. Both cases had no prior history of vulvar trauma or discharge from the masses. Their medical, obstetric and gynaecological histories were unremarkable.

The overlying skin was freely mobile over each mass. There were no visible or palpable cough impulse or inguinal lymphadenopathy, and bimanual pelvic examinations were normal. A tentative diagnosis of vulvar lipoma was made in each case. Their laboratory investigations were unremarkable and they were prepared for surgical excision.

The masses were completely excised under general anaesthesia. The postoperative recoveries of both patients were uneventful. Cut sections of the tumours showed lobulated yellow tissue without haemorrhage or necrosis. Microscopic examination revealed circumscribed benign tumours composed of mature adipocytes Figure 2 confirming the diagnosis of vulvar lipoma.

Benign tumours of the vulva are usually classified according to their origin as epithelial or mesenchymal cell tumors. Lipomas usually present as single or multiple slowly growing, painless and mobile soft tissue swelling with a characteristic doughy feel.

They appear as ill-defined, well-demarcated, or pedunculated masses that are nonadherent to the overlying skin. Clinically, vulvar lipomas must be differentiated from cystic swellings of the Bartholin's gland and the canal of Nuck 1 , 3 ; they may be misdiagnosed as inguinal hernias especially in children. If left untreated, they may attain a remarkable size. Where the clinical diagnosis is not apparent, ultrasound, computed tomography CT and magnetic resonance imaging MRI are useful in differentiating vulvar lipomas from vulvar cysts, inguinal hernias and liposarcomas.

CT scan and MRI are useful in evaluating the anatomical extensions of vulvar lipomas and differentiating them from liposarcomas. Histologically, they must be distinguished from well differentiated lipoma-like liposarcomas by extensive tumor sampling. Diagnosing two cases of vulvar lipoma within six months in one centre may suggest that this condition is not as rare as the current thinking is, and emphasizes the need to subject all excised lesions to histopathological evaluation.

Two cases of vulvar lipoma detected within six months in adults are presented. The lipomas were removed by complete surgical excision and the diagnosis confirmed by histopatholology.

Recognition of this benign vulvar swelling is important to differentiate it from cystic swellings and malignant neoplasms in the vulva. We are grateful to the women for giving consent for their case records to be published. National Center for Biotechnology Information , U. Journal List Ghana Med J v. Ghana Med J. Author information Copyright and License information Disclaimer. Corresponding Author: Dr.

Alexander T. Odoi E-mail: moc. This article has been cited by other articles in PMC. Summary Vulvar lipoma is said to be so rare that only a few cases have been reported. Keywords: Vulva, lipoma, benign neoplasm, surgical excision.

Introduction Lipomas constitute the most common soft tissue tumors. Case Reports Case 1: A year-old para 2 presented to our department with a painless and slow-growing right vulvar mass of six months duration. Open in a separate window. Figure 1. Figure 2. Discussion Benign tumours of the vulva are usually classified according to their origin as epithelial or mesenchymal cell tumors. Conclusion Two cases of vulvar lipoma detected within six months in adults are presented. Acknowledgement We are grateful to the women for giving consent for their case records to be published.

References 1. Large lipoma of the vulva. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci. Vulvar lipomas in children: an analysis of 7 cases. J Pediatr Surg. Sonographic findings of a large vulvar lipoma. Ultrasound Obstet Gynecol. Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. Br J Dermatol. Salam GA. Lipoma excision. Am Fam Physician. Support Center Support Center.

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Vulvar Lipoma: Is It So Rare?

It was soft in compression by ultrasound probe. Although, lipoma constitutes largest group of soft tissue tumors, vulval lipoma are rare entity. Its identified in all age groups, from infancy upto nineties. Differential considerations should include Bartholin, or canal of Nuck cysts, which could be easily differentiated by ultrasound.

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Large Vulvar Lipoma

Lipomas of the skin are not rare. The case reported herein is unusual, however, in that there was a large, pedunculated lipoma on the vulva that was present at birth. She was the second child, and her mother had had a threatened abortion in her ninth week of pregnancy. At birth, the patient had a soft, egg-shaped, pedunculated tumor on the vulva, which enlarged with her growth. She was first examined by one of us at 7 months of age.

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Vulvar lipoma: a case report

Metrics details. Vulvar lipoma is a rare tumor localization and only a few cases have been reported. The clinical characteristics of vulvar lipoma are well known. However, it is important to distinguish lipomas from liposarcomas. We report a case of vulvar lipoma and discuss its clinical features, including diagnostic aspects, with emphasis on histopathological evaluation of all excised lesions. We also report and discuss patient management and treatment outcomes.

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