Vulvar fibromas are often asymptomatic in their early stages, but once they develop, symptoms usually include discomfort due to increased size and weight, pain when walking, and difficulty urinating [8,10]. Ulceration with superficial hemorrhage is commonly observed in tumors with a long clinical duration and is often caused by repeated trauma [2]. It also causes extreme emotional agitation and social withdrawal [9]. Our patient’s tumor was painless, accompanied with pressure sores and foul-smelling vaginal discharge. It is very difficult to distinguish fibroma from other vulvar masses. Therefore, lipoma, inguinal hernia, vulvovaginal cyst, vulvar elephantiasis, and fibroepithelial tumor are important differential diagnoses [2].