Serous papillary cystadenofibroma of vulva: A histopathological surprise

A P Roshini; Audi Pandarinath; Mervyn Corriea

doi:10.1016/j.ijscr.2021.105776

Serous papillary cystadenofibroma of vulva: A histopathological surprise

Int J Surg Case Rep. 2021 Jun:83:105776. doi: 10.1016/j.ijscr.2021.105776. Epub 2021 Mar 16.

Authors

A P Roshini¹, Audi Pandarinath², Mervyn Corriea¹

Affiliations

¹ Department of General Surgery, Goa Medical College Hospital, Bambolim, Goa, India.
² Department of General Surgery, Goa Medical College Hospital, Bambolim, Goa, India. Electronic address: audipankaj0@gmail.com.

Abstract

Introduction: Serous Papillary Cystadenofibromas (SPCAFs) of the vulva is rare.

Case report: We report a case of a 45-year-old female who presented with a painless slow growing mass in the genital region. Examination revealed a 10 × 8 cm swelling from the vulva. USG was suggestive of a complex cystic lesion and MRI showed a low signal intensity lesion on T2W image. She underwent wide local excision and the histopathology was suggestive of a SPCAF.

Discussion: Vulval tumors rare- account for 4 % of female genital tract tumors. Mainstay of treatment in cases of SPCAF is wide local excision. Histopathology confirms the diagnosis and is used to rule out malignant transformation.

Conclusion: These represent uncommon tumors with high degree of heterogeneity which becomes a major challenge and systematic evaluation is crucial for clinical decision-making and patient management.

Keywords: Complex cyst of vulva; Cystadenofibroma; Serous papillary cystadenofibroma; Vulva.