Massive cellular angiofibroma of the vulva

Excerpt

A 68-year-old postmenopausal lady presented with a large, slow-growing vulvar mass that had first been observed 3 years earlier. She reported a fast enlargement of the mass in the months prior to the appointment and some episodes of small spontaneous bleeding and subsequent sero-purulent discharge from a mass. Pelvic examination revealed a massive solid tumor involving the left labium majus with chronic mechanical irritation zone (Fig. 1A). The mass was firm in consistency, partially movable, and non-tender with no inguinal lymphadenopathy. Pelvic MRI with contrast revealed a large heterogeneously enhancing soft tissue mass, measuring 11.7 × 4.5 × 3.1 cm and expending to the left vulva (Fig. 1B). The patient underwent a wide local excision of mass with adequate surgical margins. (Fig. 1C). Gross examination showed a well-circumscribed, solid, whitish, glossy tumor (Fig. 1D). Histopathologic examination revealed that the findings were consistent with the diagnosis of the cellular angiofibroma. The postoperative course was uneventful. The patient remains asymptomatic, with no evidence of local recurrence 17 months after the procedure.

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