Giant Fibroepithelial Polyp of Vulva: A Case Report and Review of Literature

Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2018 Dec 1;39(2-3):127-130. doi: 10.2478/prilozi-2018-0051.


Fibroepithelial stromal polyps of vulva are the type of mesenchymal lesion that typically occurs in women of reproductive period. They are common, usually small and hystologically benign. Larger lesions are rare and likely arise from proliferation of mesenchymal cells within the hormonally sensitive subepithelial stromal layer of the lower genital tract. We present a case of 16 year old female with a giant polypoid lesion of the vulva localized on the right labium. The mass measure was 18×12×3 cm. Total surgical resection of the lesion was performed. Histopathological examination reported a fibroepithelial stromal polyp of the vulva. The patient showed no evidence of recurrence four years after the resection. Fibroepithelial polyps of the vulvar region are benign lesions that have a wide range of morphologic appearances and may be misinterpreted as malignant. Total excision is the best treatment options and histopathological examination is strongly recommended to rule out a malignant neoplasm.

Keywords: benign lesion; fibroepithelial polyp; vulvar diseases.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Neoplasm Recurrence, Local
  • Neoplasms, Fibroepithelial / pathology*
  • Neoplasms, Fibroepithelial / surgery
  • Polyps / pathology*
  • Treatment Outcome
  • Vulva / pathology*
  • Vulvar Neoplasms / pathology*
  • Vulvar Neoplasms / surgery