Vaginal para-urethral myxoid leiomyoma: case report and review of the literature.
Vaginal leiomyoma is a rare solid tumour of unknown aetiology, which usually develops in women between the ages of 35 and 50. As it presents with a wide range of symptoms, diagnosis is based on histological findings. Here we present the case of a 27-year-old white woman with a painless vaginal mass associated with dyspareunia, dysmenorrhea and foul-smelling vaginal discharge. She underwent surgery by vaginal route, and the histological findings confirmed a myxoid leiomyoma. After 17 months, the patient was disease-free, and symptoms disappeared. Vaginal leiomyomas are rare, local recurrence and transformation into sarcoma are rare, and complete surgical excision as soon as possible is recommended.
Costantini
Elisabetta
E
Department of Medical-Surgical Specialties and Public Health, Section of Urology and Andrology, University of Perugia, Via Brunamonti 51, 06100 Perugia, Italy. ecostant@unipg.it
Cochetti
Giovanni
G
Porena
Massimo
M
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014521:Urethra / Q000473:pathology; D014625:Vaginal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*