Leiomyoma of the vulva presenting unusual features

This study included a 41-year old woman presented with vulval leiomyomata which recurred six years after excision. The patient had leiomyomata of the uterus which recurred several times within an 18-year period after excision. The tumors involved both labia majora. The right labium majus was the site of three small leiomyomata and the left labium majus was occupied by a large ovoid tumor. The tumors were existed. They were well circumscribed with expansile margins. Mitotic figures were absent. The patient had a special predisposition for the development, growth and recurrence of uterine and vulval leiomyomata. Although tumor multiplicity is a feature of uterine leiomyomata, the vulval myoma is as a rule solitary. This is the first report of multiple bilateral vulval myomas. Recurrence of uterine myomas is a distinct possibility. It is not surprising therefore that the vulval tumor should recur in a similar manner. Patient represent the second reported instance of multicentric genital leiomyomata

Schistosoma haematobium infection of uterine leiomyomas

Schistosomal infection of uterine myomas is very rare. Two cases of schistosoma haematobium involving leiomyoma of the corpus uteri are described. The reason for the extreme rarity of such an association is not known. A plausible explanation based on vascular alterations in the leiomyomatous uterus is presented

incidence of vulvar lesions in patients under going gynecologic surgery at Kasr El Eini hospital

Out of the 2949 gynecologic surgical patients reviewed 53 cases were found to have vulvar lesions [1.8%]. Among them, there was 17% of non - ulcerative neoplastic cases. Malignant disease was encountered in 5 patients [9.43%], 3 with non ulcerative and 2 with ulcerative lesions. Vulvar ulcer was due to chronic non- specific in flammation in 2 other patients [3.77%]. Four patients [7.55%] were found to have chronic epithelial dystrophy. Cystic swelling was the most commonly encountered lesions [39.62%]. Nine patients out of the 21 with cystic lesions had clitoridial cyst. The vulvar lesion was found to be congenital in 9 cases [17%]. While non ulcerative inflammatory vulvar lesions were encountered in 6 cases [11.32%]. Only one case among the 53 had bilharizial vulvar lesion