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Low-grade myofibroblastic sarcoma of the vulva
Ted M Roth1, Jonathan Fratkin, T Casey Woodring
1Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS 39206, USA. Troth@jam.rr.com
Background:
Vulvar sarcomas are rare tumors. A distinctive low-grade myofibroblastic sarcoma is described.
Case:
A 46-year-old female presented with a progressively enlarging vulvar mass. Pathological evaluation revealed a low-grade myofibroblastic sarcoma. The immunophenotype is outlined and ultrastructural features are highlighted. Tumor cells were positive for p53 protein, smooth muscle actin, steroid receptors, and showed myofibroblastic differentiation on electron microscopy. The patient has been followed for >14 months without evidence of recurrence.
Conclusion:
The tumor was positive for p53, mitotically active, but was categorized as a low-grade malignancy. Immunohistochemical and ultrastructural criteria were utilized to distinguish this tumor from other neoplasms.