Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 16 , ISSUE 4 ( July-August, 2024 ) > List of Articles

Original Article

Clinicopathological Evaluation of Benign Vulvar Tumors: A Descriptive Study in a South Asian Population

Akshaya Murali, Sushitha Chandran, Annamma Thomas

Keywords : Fibroepithelial polyp, Vulvar lesions, Vulvar mass

Citation Information : Murali A, Chandran S, Thomas A. Clinicopathological Evaluation of Benign Vulvar Tumors: A Descriptive Study in a South Asian Population. J South Asian Feder Obs Gynae 2024; 16 (4):336-340.

DOI: 10.5005/jp-journals-10006-2429

License: CC BY-NC 4.0

Published Online: 09-07-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: To analyze the different types of benign vulvar tumors that required surgery and to correlate with the histopathological findings postoperatively. Materials and methods: This retrospective study was conducted over a period of 1 year in a tertiary care hospital in Southern India. A total of 11 benign solid vulvar masses which were operated between July 2022 and June 2023 were included in the study. Demographic data, description of the mass, time taken to seek medical attention, surgical procedure and pictographic histopathological findings were studied. Results: The study population ranges from 26 to 45 years with a mean age of 35.8 ± 7.33 years. The mean time taken to seek medical care for the detected mass was 16.25 ± 17.23 months. The earliest presentation was noted 6 months after detection, while one patient presented 6 years after the appearance of the mass. The largest mass was 12 × 15 cm in size. All the masses underwent complete surgical excision with no postoperative complications. The most common pathological finding was fibroepithelial polyp, noted in four patients, followed by leiomyoma of the vulva and vulvar hemangioma. The other masses were reported as vulvar endocervicosis, epidermoid cyst, and lipoma, respectively. It is important to note that these tumors, though benign, can cause functional, sexual, and emotional impairment. These women were followed up 6 months postoperatively and did not show any recurrence. The quality of life assessment using the VR-12 validated scale indicated the improvement in all 11 women after surgery. Conclusion: Surgical excision of benign vulvar masses not only mitigates the risk of premalignant tumors of the vulva, but also greatly improves the quality of life. Clinical significance: • This study helps us understand benign vulvar masses and the importance of surgical removal of these masses to prevent risk of malignancy. • Surgical excision helps to greatly improve the quality of life in these women.


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