An Uncommon Case of Vulvar Epithelioid Leiomyoma - Case Report

Dr. Nezeeda MP, Dr Laila Raji N

Abstract: Genital leiomyomas are rare tumours that can often be misdiagnosed as Bartholin cyst. Epithelioid Leiomyoma of vulva is distinctly uncommon when compared with uterine leiomyoma. We report a case of 18 year old girl who had a nodulocystic swelling over left vulva suggestive of Bartholin Cyst. A local excision procedure was performed. Microscopy and IHC findings favoured a diagnosis of Epithelioid Leiomyoma of Vulva. The macroscopic features of cystic lesion of vulva made it difficult to differentiate between leiomyoma and Bartholin cyst. Therefore, histopathologic examination is often recommended for such cases.

Keywords: Leiomyoma, Bartholin cyst