title: Giant fibroepithelial stromal polyp of the vulva: largest case reported.
abstract: BACKGROUND
  Fibroepithelial stromal polyps are site-specific mesenchymal lesions that are commonly found in the vulvovaginal region in premenopausal females. These polyps usually are less than 5 cm in diameter and are most commonly identified during routine gynecological examination. Although the stromal polyp is benign, its differential diagnosis includes some malignant vulva lesions making it critical to ensure that an accurate pathologic diagnosis is made.
  
  
  METHODS
  We present a case of a 21 year old female with a giant fibroepithelial stromal polyp of the vulva. Upon review of the literature this is the largest reported fibroepithelial stromal polyp to date.
  
  
  CONCLUSIONS
  Fibroepithelial stromal polyps can grow as large as 390 grams and can be 18.5-cm in diameter. Microscopic evaluation of the polyp is critical in the exclusion of malignancy with this diagnosis.
authors.affiliation: Obstetrics-Gynecology, Geisinger Medical Center, Danville, PA 17821, USA.
authors.forename: Obianuju Sandra
authors.initials: OS
authors.lastname: Madueke-Laveaux
authors.affiliation: Gynecologic Oncology, Geisinger Medical Center, Danville, PA 17821, USA.
authors.forename: Radhika
authors.initials: R
authors.lastname: Gogoi
authors.affiliation: Obstetrics-Gynecology, Geisinger Medical Center, Danville, PA 17821, USA.
authors.forename: Gary
authors.initials: G
authors.lastname: Stoner