Case report
A 41-year-old female presented
with a rapidly growing, painful 1 cm tumor on the right labium major.
She underwent surgical excision in November 2017. The tumor was found to
be encapsulated, but the capsule was ruptured during the procedure. A
provisional diagnosis of leiomyoma was assigned.
She presented again in January 2018 with complaints of a painful mass in
the same area. Examination revealed a dense, nodular tumor measuring 5x2
cm on the right labium majus deep to the prior surgical scar. Pelvic and
abdominal ultrasound were routine. Due to clinical concern for
malignancy based on rapid regrowth, the patient underwent wide local
excision of the right vulva.
During excision, the mass was found to be a solid, well-encapsulated
tumor measuring 5 x 2 cm with no evidence of any infiltrative process.
Grossly negative margins were achieved. The incision was primarily
closed.