Vulvar Smooth Muscle Tumours: Case Series and Review of Literature

Abstract

Smooth muscle tumours are rare in vulva. Here we discuss three cases all presenting with vulvar mass but with different clinical features. The first patient was 26-year-old primigravida at 18 weeks gestation with vulvar mass in the region of bartholin gland. The second patient was 31-year-old presenting at term pregnancy in labour and with vulvar mass. The third patient was 38-year-old para 3 woman with complaints of pain, ulceration of a gradually growing mass in vulva for the last eight months. Local excision was done in first and second patient and wide local excision in third patient with good postoperative recovery and no recurrence till date. The aim of reporting these cases is to emphasise the need of having high clinical suspicion of vulvar smooth muscle tumours in any woman presenting with vulvar mass to avoid missing out on malignant ones and provide the best prognosis to patients.

Keywords

• leiomyoma
• leiomyosarcoma
• vulvar mass