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Vaginal Leiomyoma: A Case Report
Miki Shah1, Rachana Saha1, Niranjan Kc2
1Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|September 11, 2021
Summary
Vaginal leiomyomas are rare benign tumors. This case report details a 48-year-old woman diagnosed with a vaginal leiomyoma, successfully treated with surgical removal and histopathology.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
Background:
- Uterine leiomyomas (fibroids) are common, affecting 20-30% of women of reproductive age.
- Vaginal leiomyomas are exceptionally rare, with approximately 300 cases reported since 1733.
- These tumors originate from Mullerian smooth muscle cells in the vaginal sub-epithelium, typically on the anterior wall.
Observation:
- A 48-year-old multiparous woman presented with asymptomatic multiple uterine fibroids on ultrasound.
- Physical examination revealed a palpable mass on the right vaginal wall.
- The patient underwent per-vaginal tumor removal.
Findings:
- Histopathology confirmed the diagnosis of vaginal leiomyoma.
- Surgical removal via the vaginal route was technically feasible.
Implications:
- Vaginal leiomyoma diagnosis and management require a high index of suspicion.
- Per-vaginal excision followed by histopathological examination is the recommended optimal management strategy.
- This case contributes to the limited literature on vaginal leiomyomas, particularly from Nepal.
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