Vulval/Labial Leiomyoma: A Rare Case Report

The vulval/labial leiomyomas are rare tumours and are considered to arise from smooth muscle cells within the round ligament remnants in the labia majora, erectile tissue and blood vessel walls. We present the case report of a 33 year old parous woman who presented with history of a painless swelling in the vulval region and discomfort for 3 years. Patient underwent surgical excision of the lesion in the vulval area. The histopathological diagnosis was suggestive of benign leiomyoma. There are fewer than hundred and twenty cases of vulval smooth muscles tumours reported in literature [1, 2]. Since many other vulval lesions have similar presentations, it poses a difficulty in distinguishing leiomyoma from other lesions. Surgical excision is the only curative treatment for vulvar leiomyomas [3]. Therefore it is recommended that these lesions are surgically excised and sent for histopathological examination for the confirmation of diagnosis. This case report helps to take into account other differential diagnoses of vulval masses.