Vulvar Lipoma: A Case Report

Abstract

The present study is a case report of vulvar lipoma. The vulva is a rare site for the development of lipomas, and the aim of the study is to determine if the current imaging modalities can diagnose lipomas correctly. A 43-year-old patient presented with a painless, slowly progressive, oval, mobile and non-tender right vulvar mass compressing the vagina and totally covering the introitus. Both the ultrasonography and magnetic resonance imaging (MRI) exams suggested the diagnosis of lipoma. Surgical excision was performed, and the histopathological examination of the mass confirmed a lipoma.

Keywords

benign tumor - lipoma - mesenchymal tissue - soft tissue - vulva - vulvar lipoma

• References

• 1 Morgan MB. Benign mesenchymal tumors. In: Morgan MB, Hamill Jr JR, Spencer JM. . (eds.). Atlas of Mohs and Frozen Section Cutaneous Pathology . New York, NY: Springer; 2010: 153-161
• 2 Coban YK, Uzel M, Gumus N. Lipoma due to chronic intermittent compression as an occupational disease. Ann Plast Surg 2006; 57 (03) 275-278 . Doi: 10.1097/01.01.sap.0000223205.88824.39
• 3 Bianchini L, Birtwisle L, Saâda E. , et al. Identification of PPAP2B as a novel recurrent translocation partner gene of HMGA2 in lipomas. Genes Chromosomes Cancer 2013; 52 (06) 580-590 . Doi: 10.1002/gcc.22055
• 4 El-Agwany AS. Huge vulvar lipoma and uterine fibroid: concomitant female genital mesenchymal lesions at different sites. Indian J Gynecol Oncol 2017; 15: 19 . Doi: 10.1007/s40944-017-0112-6
• 5 Jayi S, Laadioui M, El Fatemi H. , et al. Vulvar lipoma: a case report. J Med Case Reports 2014; 8: 203 . Doi: 10.1186/1752-1947-8-203
• 6 Odoi AT, Owusu-Bempah A, Dassah ET, Darkey DE, Quayson SE. Vulvar lipoma: is it so rare?. Ghana Med J 2011; 45 (03) 125-127
• 7 Lee JH, Chung SM. Large vulvar lipoma in an adolescent: a case report. J Korean Med Sci 2008; 23 (04) 744-746 . Doi: 10.3346/jkms.2008.23.4.744
• 8 Jóźwik M, Kołodziejczak M, Klonowska-Dziatkiewicz E, Jóźwik M. Giant vulvar lipoma in an adolescent girl: a case study and literature review. J Pediatr Adolesc Gynecol 2014; 27 (05) e117-e119 . Doi: 10.1016/j.jpag.2013.09.001
• 9 Childress KJ, Hicks J, Wu H, Brandt ML, Adeyemi-Fowode OA. Lipoblastoma of the labia: a case report. J Pediatr Adolesc Gynecol 2016; 29 (06) e97-e99 . Doi: 10.1016/j.jpag.2016.06.006
• 10 Heller DS. Benign tumors and tumor-like lesions of the vulva. Clin Obstet Gynecol 2015; 58 (03) 526-535 . Doi: 10.1097/GRF.0000000000000133
• 11 Sherer DM, Gorelick C, Wagreich A. , et al. Sonographic findings of a large vulvar lipoma. Ultrasound Obstet Gynecol 2007; 30 (05) 786-787 . Doi: 10.1002/uog.5130
• 12 Fornage BD, Tassin GB. Sonographic appearances of superficial soft tissue lipomas. J Clin Ultrasound 1991; 19 (04) 215-220 . Doi: 10.1002/jcu.1870190405
• 13 Nagano S, Yokouchi M, Setoguchi T. , et al. Differentiation of lipoma and atypical lipomatous tumor by a scoring system: implication of increased vascularity on pathogenesis of liposarcoma. BMC Musculoskelet Disord 2015; 16: 36 . Doi: 10.1186/s12891-015-0491-8
• 14 Boyer M, Monette S, Nguyen A, Zipp T, Aughenbaugh WD, Nimunkar AJ. A review of techniques and procedures for lipoma treatment. Clin Dermatol 2015; 3: 105-112 . Doi: 10.11138/cderm/2015.3.4.105