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.