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Very large labial swelling requiring surgical intervention.
Amy P Worrall1,2, Elmuiz Haggaz Elsideeg3, Fadi Salameh3
1Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland worralap@tcd.ie.
BMJ Case Reports
|February 8, 2025
Summary
A large, long-standing labial swelling significantly impacted a woman's quality of life. Surgical excision confirmed a benign epithelial inclusion cyst, leading to excellent healing and improved well-being.
Area of Science:
- Gynecology
- Dermatology
- Surgical Pathology
Background:
- A woman in her late 30s experienced a large, persistent left labial swelling.
- The swelling had been present for over a decade, with prior incomplete surgical interventions.
- This condition caused significant discomfort and negatively affected her quality of life.
Purpose of the Study:
- To report the successful surgical management of a recurrent, symptomatic labial swelling.
- To confirm the diagnosis of a benign epithelial inclusion cyst via histological examination.
Main Methods:
- The patient underwent definitive surgical excision of the cystic labial lesion under general anesthesia.
- The procedure involved careful blunt and sharp dissection to remove the entire lesion intact.
- Subcutaneous closure, skin excision, and continuous non-locking sutures were employed for wound closure.
Main Results:
- Histopathology confirmed the excised lesion to be a benign epithelial inclusion cyst.
- Postoperative follow-up at 6 weeks showed excellent wound healing.
- The patient reported a significant improvement in her quality of life following the surgery.
Conclusions:
- Surgical excision is an effective treatment for symptomatic labial inclusion cysts.
- Complete removal of the cyst leads to favorable outcomes and enhanced patient well-being.
- This case highlights the positive impact of definitive surgical intervention on quality of life for patients with benign cystic lesions.

