Pleomorphic vulvar leiomyoma with local invasive behavior.
A case of pleomorphic leiomyoma in Bartholin gland's area in a 26-year-old woman is reported. After diagnostic treatment, primary excision was done. A large, solid tumor 10 x 7.5 cm was extirpated. The tumor showed locally invasive behavior, which suggested a malignant tumor of Bartholin gland, because of it's localization and outlook. Pathohistological examination and immunohistochemical reactions proved that it was a mesenchymal tumor of smooth muscle origin with marked polymorphism, without mitosis, with a myxoid stroma and with biological aggressivity, and the possibility of local recurrence. Thus, a second more radical surgical procedure, was performed. In the excised tissue, no residual tumor was found and all lymph nodes were negative.
Topolovec
Z
Z
Department for Gynecology and Obstetrics University Hospital Osijek, Osijek, Croatia.
Mrcela
M
M
Milojković
M
M
Sijanović
S
S
Topolovec
J
J
Curzik
D
D
Hrgović
Z
Z
D000328:Adult; D001472:Bartholin's Glands / Q000473:pathology*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology*; D009361:Neoplasm Invasiveness; D014846:Vulvar Neoplasms / Q000473:pathology*