title: Vulvar lipoma: a case report.
abstract: BACKGROUND
  Vulvar lipoma is a rare tumor localization and only a few cases have been reported. The clinical characteristics of vulvar lipoma are well known. However, it is important to distinguish lipomas from liposarcomas. We report a case of vulvar lipoma and discuss its clinical features, including diagnostic aspects, with emphasis on histopathological evaluation of all excised lesions. We also report and discuss patient management and treatment outcomes.
  
  
  METHODS
  We report the case of a 27-year-old Moroccan woman. Our patient presented with a painless and slow-growing right vulvar mass that had evolved over one year, which had suddenly become uncomfortable when walking. A physical examination revealed a single soft and pasty mass in her left labium majus, which could be mobilized under her skin towards her mons pubis. The largest dimension of the mass measured 6cm. Magnetic resonance imaging showed a homogenous hyperintense mass with a well-defined contour in her left labium majus; a fat-suppressed magnetic resonance image demonstrated a marked signal intensity decrease. The mass was completely removed surgically. A histological examination revealed a circumscribed benign tumor composed of mature adipocytes, confirming the diagnosis of vulvar lipoma.
  
  
  CONCLUSIONS
  Vulvar lipomas must be differentiated from liposarcomas, which demonstrate very similar clinical and imaging profiles. The final diagnosis should be based on histopathological evaluation. A precise diagnosis should allow for appropriate surgical treatment.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital of Fez, Sidi Mohammed Ben Abdellah University, 37-39, Lotissement Asmae, Route Ain Chqef, Fez, Morocco. jayisofia@yahoo.fr.
authors.forename: Sofia
authors.initials: S
authors.lastname: Jayi
authors.forename: Meriem
authors.initials: M
authors.lastname: Laadioui
authors.forename: Hind
authors.initials: H
authors.lastname: El Fatemi
authors.forename: Fatima Zohra
authors.initials: FZ
authors.lastname: Fdili
authors.forename: Hakima
authors.initials: H
authors.lastname: Bouguern
authors.forename: Hikmat
authors.initials: H
authors.lastname: Chaara
authors.forename: Afaf
authors.initials: A
authors.lastname: Laamarti
authors.forename: My Abdelilah
authors.initials: MA
authors.lastname: Melhouf
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008067:Lipoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D014844:Vulva / Q000473:pathology / Q000601:surgery; D014846:Vulvar Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery