Leiomyoma of the vagina

ABSTRACT

An 18 year old unmarried girl presented with mass coming out of vagina for 3 months and with some vaginal discharge off and on. Menstrual cycle was 6 days every month with moderate flow. Single digit examination was suggestive of endocervical polyp. Laboratory investigations were non-significant except for a few pus cells in urine. Uterus and ovaries were normal on ultrasonography. Examination under anesthesia showed an anterior wall cystic mass 6'7 Cm in diameter, which had a well-defined capsule. The tumour was enucleated and the core contained some necrotic material. After enucleation the space was gently curetted. Histopathology and immunocytochemistry confirmed diagnosis of aggressive leiomyoma with 5'10 mitosis per high power field. Opinion of oncologist was taken for follow up of the case. An Enhanced CT scan of pelvis revealed a round hypodense shadow in right adnexal region that gave an impression of right ovarian cyst about 2.5 Cm in diameter without any radiologic evidence of malignancy. It was planned to be managed conservatively. Follow up over next one year [last check up being in Feb 2003] has not revealed any recurrence of leiomyoma/malignancy, whereas ovarian cyst has resolved