A Paraurethral Vaginal Mass in Rural Setting: A Case Report

Area of Science:

• Gynecologic Oncology
• Urogynecology
• Pathology

Background:

• Paraurethral vaginal leiomyoma is an exceptionally rare tumor, with fewer than 300 cases documented globally.
• Accurate diagnosis relies on detailed imaging and histopathological examination.

Observation:

• A 36-year-old woman presented with a 3x5 cm vulvar mass causing urinary stream deviation and dyspareunia.
• Imaging studies, including ultrasonography and cystography, excluded bladder or uterine involvement.

Findings:

• Histopathological examination confirmed the vulvar mass as a paraurethral vaginal leiomyoma.
• Surgical excision was successfully performed, achieving complete tumor removal.

Implications:

• This case underscores the importance of considering rare gynecological tumors in the differential diagnosis of vulvar masses.
• Histopathological confirmation remains the gold standard for diagnosing paraurethral vaginal leiomyoma.
• Surgical excision is the definitive treatment for symptomatic paraurethral vaginal leiomyoma.