Publication: Unveiling the Giant: Understanding Large Vulvar Fibroepithelial Polyps: A Case Report with Review of Literature
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON)
Abstract
Abstract:
Fibroepithelial stromal polyps (FEPs), commonly known as acrochordons, are benign lesions of mesenchymal origin, typically found in the vulvovaginal area. Their growth is believed to be hormone-sensitive, often stimulated by hormonal changes, pregnancy, or prolonged hormone use, and they mostly occur in women of reproductive age. We present a case involving a 47-year-old woman with a large, painless, pedunculated mass on the right labia majora that progressively grew over a year. The patient had difficulty walking and refrained from intercourse due to the mass. Despite a previous hysterectomy, a pelvic ultrasound revealed no significant changes. Physical examination showed a soft, non-tender, hyperpigmented mass without signs of inflammation or ulceration. A dermatologist diagnosed it as a fibroepithelial polyp, confirmed by histopathological examination after excision. Differential diagnoses include aggressive angiomyxoma, angiomyofibroblastoma, sarcoma, and other conditions, clinical and histopathologic features can differentiate. Complete surgical excision is the preferred treatment to prevent recurrence, with cryotherapy or cauterization as alternatives for smaller polyps. Long-term follow-up is essential to monitor for recurrence.
Description
Author Biographies
Priyanka Malhotra, MIMSR Medical College, Latur, Maharashtra, India
Junior Resident, MIMSR Medical College, Latur, Maharashtra, India
Manjaree Morgaonkar, MIMSR Medical College, Latur, Maharashtra, India
Assistant Professor,MIMSR Medical College, Latur, Maharashtra, India
Akash Ramakrishna Shetty, MIMSR Medical College, Latur, Maharashtra, India
Junior Resident, MIMSR Medical College, Latur, Maharashtra, India
Vishwas Rahangdale, MIMSR Medical College, Latur, Maharashtra, India.
Junior Resident, MIMSR Medical College, Latur, Maharashtra, India.
Keywords
Benign skin tumors, Desmin biomarker, Hormonal changes, Stellate cells, Surgical excision