Clinical Image
More Information

Submitted: April 28, 2021 | Approved: May 04, 2021 | Published: May 05, 2021

How to cite this article: Chitkara A. Vulvar lipoma: A rare tumour. Clin J Obstet Gynecol. 2021; 4: 072-072.

DOI: 10.29328/journal.cjog.1001091

Copyright: © 2021 Chitkara A. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

 FullText PDF

Vulvar lipoma: A rare tumour

Aarti Chitkara*

Junior Resident of Postgraduate Institute of Medical Education and Research, Chandigarh, India

*Address for Correspondence: Aarti Chitkara, Junior Resident of Postgraduate Institute of Medical Education and Research, Chandigarh, India, Email: Aarti.chitkara0113@gmail.com

 

A 26 year nulliparous woman presented to the OPD with complaint of painless swelling in the vulva for the last 1.5 years which gradually increased in size causing difficulty in walking. Physical examination revealed a well-defined soft, non-tender ellipsoidal swelling with smooth margins in vulvar region measuring 9*6*4 cm lateral to right labia majora extending from clitoris to external anal orifice, which was mobile and not fixed to overlying skin or underlying bone. The differential diagnosis were Vulvar lipoma, Bartholin cyst, peritoneal inclusion cyst of the canal of Nuck. The mass was surgically excised. Figures 1,2 represent the preoperative and postoperative pictures respectively. The histopathology revealed a well-defined tumor composed of lobules of mature adipocytes divided by fibrous septa without atypia; confirming the diagnosis of lipoma. Histologically, they must be distinguished from well differentiated lipoma-like liposarcomas [1]. Clinical diagnosis and complete surgical excision of this rare benign vulvar neoplasm is the mainstay of treatment [2,3].


Download Image

Figure 1: Pre- operative.


Download Image

Figure 2: Post- operative.

References
  1. Kehagias DT, Smyrniotis VE, Karvounis EE, Gouliamos AD, Creatsas G. Large lipoma of the vulva. Eur J Obstet Gynecol Reprod Biol. 1999; 84: 5-6. PubMed:  https://pubmed.ncbi.nlm.nih.gov/10413218/
  2. Jayi S, Laadioui M, El Fatemi H, Fdili FZ, Bouguern H, et al. Vulvar lipoma: a case report. J Med Case Rep. 2014; 8: 203. PubMed:  https://pubmed.ncbi.nlm.nih.gov/24946809/
  3. Odoi AT, Owusu-Bempah A, Dassah ET, Darkey DE, Quayson SE. Vulvar lipoma: is it so rare?. Ghana Med J. 2011; 45: 125-127. PubMed: https://pubmed.ncbi.nlm.nih.gov/22282580/