We present a case of a postmenopausal female who visited her doctor for a slowly growing mass in the vulval region. The mass did not show typical clinical features of a vulval neoplasm. Magnetic resonance imaging (MRI) revealed a mass arising from the undersurface of the symphysis pubis. A literature review revealed characteristics of this lesion compatible with a subpubic cartilaginous cyst-a rare benign degenerative condition of the symphysis pubis. As a result the mass was managed non-operatively and the patient remains well 2 years later. This article highlights the role of MRI in the diagnosis of this unusual vulval mass.
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http://dx.doi.org/10.1136/bcr.11.2008.1232 | DOI Listing |
J Belg Soc Radiol
April 2022
Department of Radiology, Imeldaziekenhuis Bonheiden, BE.
Retropubic cartilaginous cysts are rare, benign lesions originating from the symphysis pubis that should be considered in the differential diagnosis of a small slow-growing retropubic nodule.
View Article and Find Full Text PDFUrol Case Rep
September 2021
Alberta Bladder Centre, Calgary, Alberta, Canada.
Subpubic cartilaginous cyst is a rare form of ganglion cyst that arises on the inferior surface of the pubis symphysis. The pathophysiology is poorly understood but has been hypothesised to be secondary to mucinous degeneration of the pubic supporting ligaments with cartilaginous metaplasia. We report a case of subpubic cartilaginous cyst in a 58-year-old woman who presented with an unusual symptomatic vaginal mass, that she described as 'growing a penis'.
View Article and Find Full Text PDFInt Urogynecol J
February 2021
Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Radiol Case Rep
September 2020
Diagnostic Imaging and Interventional Radiology, Moffitt Cancer Center, 12902 USF Magnolia Dr, Tampa, FL 33212, USA.
We report a case of a retropubic parasymphyseal cyst in a 69-year-old multiparous female with a protracted history of metastatic small bowel carcinoid (neuroendocrine) tumor. Cysts related to the pubic symphysis are uncommon, and mostly reported in subpubic location. They may be confused with primary vulvar masses, malignant bone tumors or metastatic disease.
View Article and Find Full Text PDFBMJ Case Rep
April 2020
Department of Urology, Meander MC, Amersfoort, The Netherlands.
In this case report, we will discuss three cases of women diagnosed with a periurethral mass. The specific diagnosis of a periurethral mass can vary and includes rare diseases. Therefore, they provide a challenge to medical professionals.
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