Vulval liposarcoma

Area of Science:

• Gynecologic Oncology
• Surgical Pathology
• Dermatopathology

Background:

• Vulvar tumors are uncommon, with liposarcoma being an extremely rare diagnosis.
• Differentiating benign vulvar conditions from malignancy requires careful clinical and pathological assessment.

Observation:

• A 60-year-old woman presented with a slowly growing vulvar mass, initially suspected to be a Bartholin's gland cyst.
• Surgical exploration revealed a solid, encapsulated tumor in the left labium majus.

Findings:

• Histological examination confirmed the tumor as a mostly well-differentiated liposarcoma.
• The patient experienced no local or distant recurrence 10 months after surgical resection.

Implications:

• This case highlights the importance of thorough histopathological evaluation for rare vulvar neoplasms.
• Complete surgical excision appears to be an effective treatment for localized vulvar liposarcoma.