Myxoid epithelioid leiomyoma of the vulva: a case report.
BACKGROUND
Smooth muscle tumors of the vulva are rare and sometimes create diagnostic difficulty because of unusual morphological features.


METHODS
A 29-year-old African-American female presented with a vulval mass during her 5th week of pregnancy. The lesion was surgically removed under the clinical impression of a Bartholin cyst. Histopathological findings of the lesion and immunohistochemical stain results are characteristic of myxoid epithelioid leiomyoma.


CONCLUSIONS
Up to now, there are only a few cases of myxoid epithelioid leiomyoma of the vulva reported in English literature. We review previously reported cases and discuss the morphologic differential diagnosis. The mass presented in this report was the largest benign epithelioid leiomyoma in the literature.
Zhou
Jianhong
J
Department of Pathology, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA. jzhou@metrohealth.org
Ha
Byeong K
BK
Schubeck
Dianne
D
Chung-Park
Moonja
M
D000328:Adult; D005260:Female; D006801:Humans; D018230:Leiomyoma, Epithelioid / Q000473:pathology* / Q000601:surgery; D014846:Vulvar Neoplasms / Q000473:pathology* / Q000601:surgery