Giant Vulval Lipoma in a Post Menopausal Woman.

Lipoma is the second most common mesenchymal tumour in the vulva. It is rare and not commonly seen at the Gynaecological clinic. Perineal lipomas have been reported in females with accessory labioscrotal folds. The site of the tumour and its painless nature delays patient’s presentation. Giant tumours in the perineal region can be uncomfortable and may even obstruct flow of urine and vaginal penetration. Surgical excision and cosmetic approximation of the skin is the treatment of choice for giant vulval lipomas. We present a case of giant vulval Lipoma in a 60-year-old woman. She presented because of embarrassing sexual relationship and urinary difficulties. She had surgical removal of a 900 gms mass.