Vulvar Leiomyoma Presenting as a Painless Vulvar Mass.

J Minim Invasive Gynecol

Department of Obstetrics and Gynecology, University of California, Riverside, School of Medicine (Drs. Garcia, Behbehani, Nahas, Stuparich), Riverside, California. Electronic address:

Published: February 2022

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http://dx.doi.org/10.1016/j.jmig.2021.10.014DOI Listing

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Article Synopsis
  • - Leiomyomas are benign tumors, and while uterine versions are common, vulval leiomyomas are rare; this case involves a 41-year-old woman with a significant mass in her vulva and discomfort.
  • - A preoperative ultrasound indicated a likely vulval leiomyoma, leading to surgical excision, but the patient experienced acute postoperative delirium shortly after the procedure.
  • - After treatment for delirium, which included medication and electrolyte correction, the patient recovered well, and follow-up confirmed no recurrence, highlighting the need for awareness of postoperative complications in gynecological practices.
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Article Synopsis
  • Vulval leiomyomas are very rare benign tumors made of smooth muscle, often difficult to diagnose due to their unusual location and similarity to other vulval conditions.
  • A case study highlighted a 40-year-old woman with a painless mass on her vulva, which was diagnosed as a vulval leiomyoma after being biopsied.
  • The typical treatment for vulval leiomyomas is surgical excision, which usually resolves the issue effectively.
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