Diagnosis is determined by physical examination, histopathology [9], MRI, CT, and Ultrasound [4]. Physical examination showed a giant pedunculated vulvar mass and palpable lymph nodes (fig 1). palpable lymph nodes in the inguinal region were not common in the other cases of vulval fibroma [2,9,10]. While MRI findings of most of the cases with vulvar lesions are non-specific [1], we preferred to do CT and ultrasound. Ultrasound revealed a normal uterus, left appendages, and an enlarged right ovary. CT shows an oval-shaped cyst(4*7cm) on the right uterine appendages, an irregular, central necrosis, oval mass (15*7*17cm) on the right labia majora, and a right iliac lymphadenopathy (fig. 2).