Introduction
Numerous benign vaginal tumors are susceptible to arise, including fibroma, which accounts for 0.03% of gynecologic neoplasm cases [1]. Fibroma is more common in the neck, uterus, axillae, and eyelids regions, but infrequent in the vulva [2,3]. These lesions can be discovered by chance during normal gynecologic examination and rarely grow larger than 5cm in diameter. They tend to be solitary, polypoid, or pedunculated [4].
It is important to stress that in younger women, Human papillomavirus is linked to malignant vulvar neoplasms, but inflammatory dermatoses, like scleroatrophic lichen, are mostly identified in elderly female patients [5].
Typical symptoms include discharge, discomfort with an overwhelming sensation of a mass, and ulceration with superficial bleeding generally as a result of persistent friction or trauma [4,5]. Differential diagnosis of vaginal lesions includes various malignancies such as squamous cell carcinoma [4] and the appearance may resemble vulvar cancer growth patterns, hence a biopsy is necessary for a histological investigation to rule out malignancy [6]. Computed tomography (CT), ultrasound (US), and Magnetic resonance imaging (MRI) are preferable for gynecological neoplasm diagnosis [4].
Herein, we describe a unique case of a giant vaginal fibroma that was managed with an excisional biopsy.