Amal Benchine, Najwa Loukili, Rachid Maakoul, Samir Bargach
{"title":"外阴巨型软疣病例报告和文献综述","authors":"Amal Benchine, Najwa Loukili, Rachid Maakoul, Samir Bargach","doi":"10.38124/ijisrt/ijisrt24jul1716","DOIUrl":null,"url":null,"abstract":"Background: Molluscum pendulum (MP), also known as soft fibroma, is a benign fibrous cutaneous tumor arising from mesodermal tissue. While generally small and painless, MP can become unsightly and uncomfortable as it enlarges. Giant molluscum pendulum of the vulva, a rare variant of MP, presents unique clinical challenges. The aim of this study is to present and analyze a rare case of giant molluscum pendulum (MP) of the vulva, highlighting its clinical presentation, diagnostic challenges, and treatment outcomes. Case Presentation: We report a 51-year-old female with a progressively enlarging perineal mass over 3 years. Physical examination revealed a pedunculated mass on the left labia majora, measuring 55 x 30cm, soft, painless, and mobile. Surgical excision under general anesthesia was performed, and the resected specimen weighed 850 grams with a diameter of 5 x 3 cm. Histopathology confirmed the diagnosis of giant vulvar molluscum pendulum. The surgical margins were clear, and the patient experienced a favorable recovery with no recurrence during a one- year follow-up. Discussion: Molluscum pendulum is a benign pedunculated skin tumor commonly found in flexion areas but rarely on the vulva. Giant vulvar molluscum pendulum is characterized by significant growth and can be mistaken for other vulvar conditions, including Bartholin’s cysts and lipomas. Accurate diagnosis through histopathological examination is crucial. While the large size of the tumor is usually benign, potential malignancy must be considered. Surgical excision remains the most effective treatment, with further management reserved for malignant cases. Conclusion: Giant molluscum pendulum of the vulva is a rare benign tumor that can grow substantially. Accurate diagnosis and prompt surgical intervention are essential for managing this condition effectively and preventing recurrence.","PeriodicalId":517644,"journal":{"name":"International Journal of Innovative Science and Research Technology (IJISRT)","volume":"5 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Giant Vulvar Molluscum Pendulum a Case Report and Review of the Literature\",\"authors\":\"Amal Benchine, Najwa Loukili, Rachid Maakoul, Samir Bargach\",\"doi\":\"10.38124/ijisrt/ijisrt24jul1716\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Molluscum pendulum (MP), also known as soft fibroma, is a benign fibrous cutaneous tumor arising from mesodermal tissue. While generally small and painless, MP can become unsightly and uncomfortable as it enlarges. Giant molluscum pendulum of the vulva, a rare variant of MP, presents unique clinical challenges. The aim of this study is to present and analyze a rare case of giant molluscum pendulum (MP) of the vulva, highlighting its clinical presentation, diagnostic challenges, and treatment outcomes. Case Presentation: We report a 51-year-old female with a progressively enlarging perineal mass over 3 years. Physical examination revealed a pedunculated mass on the left labia majora, measuring 55 x 30cm, soft, painless, and mobile. Surgical excision under general anesthesia was performed, and the resected specimen weighed 850 grams with a diameter of 5 x 3 cm. Histopathology confirmed the diagnosis of giant vulvar molluscum pendulum. The surgical margins were clear, and the patient experienced a favorable recovery with no recurrence during a one- year follow-up. Discussion: Molluscum pendulum is a benign pedunculated skin tumor commonly found in flexion areas but rarely on the vulva. Giant vulvar molluscum pendulum is characterized by significant growth and can be mistaken for other vulvar conditions, including Bartholin’s cysts and lipomas. Accurate diagnosis through histopathological examination is crucial. While the large size of the tumor is usually benign, potential malignancy must be considered. Surgical excision remains the most effective treatment, with further management reserved for malignant cases. Conclusion: Giant molluscum pendulum of the vulva is a rare benign tumor that can grow substantially. Accurate diagnosis and prompt surgical intervention are essential for managing this condition effectively and preventing recurrence.\",\"PeriodicalId\":517644,\"journal\":{\"name\":\"International Journal of Innovative Science and Research Technology (IJISRT)\",\"volume\":\"5 3\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-08-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Innovative Science and Research Technology (IJISRT)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.38124/ijisrt/ijisrt24jul1716\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Innovative Science and Research Technology (IJISRT)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.38124/ijisrt/ijisrt24jul1716","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:软下疳(MP)又称软纤维瘤,是一种由中胚层组织产生的良性纤维性皮肤肿瘤。一般来说,软疣较小且无痛,但随着肿大会变得难看和不舒服。外阴巨型软疣是MP的一种罕见变体,给临床带来了独特的挑战。本研究旨在介绍和分析一例罕见的外阴巨型软疣(MP)病例,重点介绍其临床表现、诊断难题和治疗效果。 病例介绍:我们报告了一名 51 岁女性的病例,她的会阴部肿块在 3 年内逐渐增大。体格检查发现左侧大阴唇上有一蒂状肿块,大小为 55 x 30 厘米,质地柔软、无痛且可移动。在全身麻醉下进行了手术切除,切除的标本重 850 克,直径 5 x 3 厘米。组织病理学确诊为巨大外阴软疣。手术边缘清晰,患者恢复良好,随访一年未复发。 讨论:巨型外阴软疣是一种良性有蒂皮肤肿瘤,常见于屈曲部位,但很少发生在外阴。巨型外阴软疣的特点是生长显著,可能会被误诊为其他外阴疾病,包括巴氏腺囊肿和脂肪瘤。通过组织病理学检查进行准确诊断至关重要。虽然体积较大的肿瘤通常是良性的,但必须考虑潜在的恶性肿瘤。手术切除仍然是最有效的治疗方法,恶性病例则需要进一步治疗。 结论:外阴巨型软疣是一种罕见的良性肿瘤,可大幅生长。准确的诊断和及时的手术干预对有效治疗和防止复发至关重要。
Giant Vulvar Molluscum Pendulum a Case Report and Review of the Literature
Background: Molluscum pendulum (MP), also known as soft fibroma, is a benign fibrous cutaneous tumor arising from mesodermal tissue. While generally small and painless, MP can become unsightly and uncomfortable as it enlarges. Giant molluscum pendulum of the vulva, a rare variant of MP, presents unique clinical challenges. The aim of this study is to present and analyze a rare case of giant molluscum pendulum (MP) of the vulva, highlighting its clinical presentation, diagnostic challenges, and treatment outcomes. Case Presentation: We report a 51-year-old female with a progressively enlarging perineal mass over 3 years. Physical examination revealed a pedunculated mass on the left labia majora, measuring 55 x 30cm, soft, painless, and mobile. Surgical excision under general anesthesia was performed, and the resected specimen weighed 850 grams with a diameter of 5 x 3 cm. Histopathology confirmed the diagnosis of giant vulvar molluscum pendulum. The surgical margins were clear, and the patient experienced a favorable recovery with no recurrence during a one- year follow-up. Discussion: Molluscum pendulum is a benign pedunculated skin tumor commonly found in flexion areas but rarely on the vulva. Giant vulvar molluscum pendulum is characterized by significant growth and can be mistaken for other vulvar conditions, including Bartholin’s cysts and lipomas. Accurate diagnosis through histopathological examination is crucial. While the large size of the tumor is usually benign, potential malignancy must be considered. Surgical excision remains the most effective treatment, with further management reserved for malignant cases. Conclusion: Giant molluscum pendulum of the vulva is a rare benign tumor that can grow substantially. Accurate diagnosis and prompt surgical intervention are essential for managing this condition effectively and preventing recurrence.