title: Massive localized lymphedema of the vulva: report of a case and review of the literature.
abstract: BACKGROUND
  Massive localized lymphedema (MLL) is a recently described entity associated with obesity, most often on the thighs. It rarely occurs on the vulva, and it may pose diagnostic difficulty for both clinician and pathologist in this setting.
  
  
  METHODS
  An obese 55-year-old woman underwent excision of bilateral polypoid vulvar masses. Histology confirmed the diagnosis of MLL.
  
  
  CONCLUSIONS
  Although MLL is not common on the vulva, with the increasing incidence of obesity in the population, more cases can be anticipated, and an awareness of this lesion is important.
authors.affiliation: Departments of 1Pathology and Laboratory Medicine and 2Obstetrics, Gynecology, and Women's Health, Rutgers New Jersey Medical School, Newark, NJ.
authors.forename: Debra S
authors.initials: DS
authors.lastname: Heller
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Fitzhugh
authors.forename: Bernadette
authors.initials: B
authors.lastname: Cracchiolo
authors.forename: Theodore
authors.initials: T
authors.lastname: Barrett
authors.forename: Rudy S
authors.initials: RS
authors.lastname: Suidan
mesh_terms: D005260:Female; D006651:Histocytochemistry; D006801:Humans; D008209:Lymphedema / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008853:Microscopy; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery