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Updated: Nov 21, 2025

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
Giant fibroepithelial vulvar polyp in a pregnant woman
Carolina Smet1, Tatiana Gigante Gomes2, Lurdes Silva3
1Obstetrics and Gynecology Department, Hospital de São Francisco Xavier, Lisboa, Lisboa, Portugal msmet@chlo.min-saude.pt.
Abstract:
Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.
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