Bicyclist's vulva: Diagnostic and therapeutic aspects

Area of Science:

• Gynecologic Pathology
• Sports Medicine
• Dermatopathology

Background:

• Bicyclist's vulva is a rare condition often associated with intensive cycling and repetitive friction.
• It presents as a painless, unilateral swelling of the labium majus, causing functional discomfort.

Observation:

• The case involved a young cyclist with a significant vulvar lesion after extensive training.
• Imaging studies helped delineate the lesion's extent and relation to pelvic organs.
• Histopathological examination revealed a collagenized connective tissue lesion without atypia or significant vascular abnormalities, ruling out malignancy.

Findings:

• The lesion was characterized by dense collagen bundles and normal fibroblasts, with no signs of necrosis, hemorrhage, or amyloid deposition.
• Immunohistochemical analysis confirmed normal vascularization.
• Surgical excision followed by autologous fat grafting was performed for treatment.

Implications:

• This case highlights the importance of considering bicyclist's vulva in athletes experiencing persistent vulvar swelling.
• The combined surgical and reconstructive approach demonstrated successful cosmetic and functional restoration.
• Accurate histopathological analysis is crucial for differentiating this condition from other vulvar tumors.