Gebeliğin erken döneminde vulvar fibroepitelyal polip olgusu

Objective & Hypothesis:Aim: Fibroepithelial stromal polyps of vulvovaginal region are uncommon tumors and their clinical features may overlap with those of malignant neoplasms.

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Key Findings & Data:Case: We present a case of a 38-year-old woman with 9 weeks of pregnancy who developed a 15- cm polypoid lesion localized in the left labium.

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Conclusion & Impact:Conclusion: This vulvar lesion has been evaluated as an example of giant fibroepithelial stromal polyp in association with pregnancy.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Aim: Fibroepithelial stromal polyps of vulvovaginal region are uncommon tumors and their clinical features may overlap with those of malignant neoplasms. They have a wide range of morphologic appearances so a biopsy is often necessary to make a definitive diagnosis. Case: We present a case of a 38-year-old woman with 9 weeks of pregnancy who developed a 15- cm polypoid lesion localized in the left labium. Total surgical resection of the lesion was performed. Histologically, in a hypercellular focal myxoid stroma, typically there were mesenchymal stellate cells, spindle- shaped cells and multinucleated giant cells. The clinical and immunohistochemical findings of this case suggest a fibroepitelial stromal polyp of the vulva. Her pregnancy progressed normally, and she underwent an uncomplicated vaginal delivery. The patient showed no evidence of recurrence one year after the resection. Conclusion: This vulvar lesion has been evaluated as an example of giant fibroepithelial stromal polyp in association with pregnancy.

Özet

Vulvovajinal bölgenin fibroepitelyal stromal polipleri sık karşılaşılan tümörler olmasa da klinik özellikleriyle malign tümörlerle karıştırılabilir. Çok farklı morfolojik görüntüleri nedeniyle sıklıkla kesin tanı için biopsy gereklidir. Otuz sekiz yaşında, 9 haftalık gebeliği olan hastada sol labiumda localize 15 cm polipoid kitle izlenmiştir. Kitleye total cerrahi eksizyon uygulanmıştır. Histolojik olarak, hiperselüler miksoid stroma içinde tipik mezenkimal stellat, iğ şekilli çok çekirdekli dev hücreler gözlenmiştir. Olguda, klinik ve immunohisto kimyasal bulgular, vulvar bölgenin fibroepitelyal stromal polibi ile uyumlu bulunmuştur. Hastanın gebeliği sorunsuz ilerlemiş, komplikasyonsuz normal doğum gerçekleştirilmiştir. Rezeksiyondan bir yıl sonra hastada nüks izlenmemiştir.Vulvada izlenen bu lezyon, gebelikle birlikte görülebilen dev fibroepitelyal stromal polip olarak değerlendirilmiştir.

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Cite This Article

ZÜLFİKAROĞLU, E., KILIÇ, S., TAFLAN, S., TARHAN, İ., AKBAY, S., MOLLAMAHMUTOĞLU, L. (2013). Gebeliğin erken döneminde vulvar fibroepitelyal polip olgusu. Van Tıp Dergisi, Cilt: 20 - Sayı: 2, 88–90. https://ajindex.com/articles/334616

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