Leiomyoma of the vulva presenting unusual features

ABSTRACT

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