Giant fibroepithelial stroma polyp of vulva: A rare case

Abstract

Introduction: Fibroepithelial polyp or acrochordon is a benign mesenchymal tumor which seen as pedunculated or non– pedunculated papilloma, with variation in size, red or brown colored and usually presented in reproductive female in the vulvovaginal region. Few conditions which associated with fibroepithelial polyp are diabetes, obesity, dyslipidemia, pregnancy and genetics. Fibroepithelial polyp of the vulva shown clinical manifestation as pedunculated polyp, solitary, wrinkled and could be solid or cystic. Case report: 21 years old woman presented with a mass hanging from labia majora sinistra with pain since 3 years ago. Examination revealed single, skin coloured, pedunculated, tender, wrinkled mass with stem diameter 1 cm and dimension 12x4 cm. The lesion was excised and treated with cream containing Solanum lycopersicum. Histopathological examination found fibroepithelial polyp stroma without malignancies. Discussion:Fibroepithelial polyp associated with obesity, dyslipidemias, and genetic. Proliferation of mesenchymal cells within the subepithelial stromal layer could cause giant lesions. The presence of a pedunculated, soft, flesh colored mass was pathognomonic, then confirmed by histopathology. Surgical excision with histopathological examination serves as diagnostic and therapeutic modality. Solanum lycopersicum hasten wound healing with anti-inflammatory effect. Conclusion: Giant fibroepithelial polyps are rare mesenchymal tumor of the vulva. Keywords: Giant fibroepithelial polyps, Solanum lycopersicum