Vaginal Fibroma: An Unusual Vaginal Tumor

Abstract

Abstract

Background:

Vaginal fibromas are very rare. They are clinically firm, benign, mesenchymal, monoclonal noninfiltrating growths. These tumors originate from smooth-muscle cells, and have diverse and nonspecific clinical features. The tumors can be asymptomatic but, depending on the size and location of occurrences, can cause various symptoms, including abdominal pain, vaginal bleeding, dyspareunia, or dysuria. The tumors can be intramural or pedunculated and solid as well as cystic.

Case:

A 42-year-old woman, para 1, developed a vaginal myoma. This benign tumor was a solid mass in her fornix. Surgical excision of the tumor was accomplished easily and histopathologic examination established the diagnosis of a fibroid tumor of the vagina.

Results:

The patient had an uneventful postoperative recovery. Her hospital stay was 24 hours. Clinical examination at a follow-up consultation, after 6 weeks, showed that her vagina was normal. A postoperative examination revealed complete vaginal healing.

Conclusions:

Histopathologic confirmation is the “gold standard” of diagnosis of fibroid tumors, as it is the only way to exclude malignancy with certainty. Removal of such tumors by the vaginal route, wherever possible, appears to be the optimum solution. (J GYNECOL SURG XX:1)