RESUMO
Even in the definitive textbook on vulvar conditions edited by Ridley no description of neuroma of the vulva exists, although neural tumors and neurofibroma are considered. The medical literature covering the past 25 years records only one case of terminal fiber neuroma in an episiotomy scar and one neuroma of the clitoris. The latter occurred in a patient with neurofibromatosis. This report documents a symptomatic neuroma of the labia minora considered to be the result of a vulval injury. It is postulated that dyspareunia related to episiotomy may be associated with disorganized proliferation of proximal nerve stumps. Because of the rarity and lack of expertise on management of vulval neuroma, we suggest that the International Society for the Study of Vulvar Disease (ISSVD) further investigate this condition.
Assuntos
Neuroma , Neoplasias Vulvares , Adulto , Feminino , Seguimentos , Humanos , Neuroma/diagnóstico , Neuroma/etiologia , Neuroma/patologia , Neuroma/cirurgia , Vulva/lesões , Neoplasias Vulvares/diagnóstico , Neoplasias Vulvares/etiologia , Neoplasias Vulvares/patologia , Neoplasias Vulvares/cirurgiaRESUMO
The literature on Cushing's syndrome associated with pregnancy is reviewed, and a case of this rare association is reported. The patient had an adrenal adenoma. Investigations and interpretation of stimulation and suppression tests are discussed. Cortisol metabolism in normal pregnancy is referred to.
