title: Fibroma of the vulva: a case report.
abstract: BACKGROUND
  It is rare to see large vulvar growths that are not trauma related in young women. The largest vulvar mass recorded dates back to 1851. Fibroma of the vulva is not common but, if not seen early and removed, can be emotionally draining for the patient.
  
  
  METHODS
  A large vulvar mass was found in an 18-year-old woman and was expeditiously excised. The patient was emotionally withdrawn and would not participate in any school or social activities. She would carry moist paper towels with her to prevent maceration of the lower abdomen and lesion wall.
  
  
  CONCLUSIONS
  An extraordinary physical finding can embarrass and alter a patient's demeanor and should be addressed without delay. The emotional condition of our patient prior to surgery consisted of depression and emotional stress due to the large vulvar mass. Following surgery the patient was comfortable, and her demeanor is now excellent.
authors: Department of Obstetrics and Gynecology, Southside Hospital, Bay Shore, New York, USA. mberlingyn@optonline.net
authors: Melvin
authors: M
authors: Berlin
authors: Scott
authors: S
authors: Berlin
mesh_terms: D000293:Adolescent; D003863:Depression; D005260:Female; D005350:Fibroma / Q000473:pathology* / Q000523:psychology / Q000601:surgery; D006801:Humans; D013315:Stress, Psychological; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000473:pathology* / Q000523:psychology / Q000601:surgery