Case History / Examination :
A 43-year-old multiparous woman (Gravida 4 Para 4) was admitted to the
obstetrics and gynecology department for a giant painless mass in the
right-sided vulva with ulceration and foul-smelling vaginal discharge
for four months. Medical history is significant for Psoriasis, with no
significant family or surgical history, no fever, and the patient is a
non-smoker.
Her menstrual cycles were regular with no dysmenorrhea and normal
vaginal deliveries. On clinical examination, paleness was observed,
without jaundice, and a rash with itchy, scaly patches was presented on
the hands and feet . On genitourinary examination, an ulcerated,
pedunculated giant vaginal mass that measures 1.7 kilograms was
recognized on the right labia majora.