Large vulvar fibroepithelial polyp and review of differentials

BMJ Case Rep. 2024 Feb 14;17(2):e259389. doi: 10.1136/bcr-2023-259389.

Abstract

Vulval fibroepithelial polyps (FEPs) are a rare type of vulval fibroblastic tumour commonly found in premenopausal women. It is important to obtain an accurate pathological diagnosis because, despite being benign, the condition shares some characteristics with malignant vulva lesions in its differential diagnosis. We present a case of young woman in her 20s with a giant FEP. After surgical excision, the patient did not manifest any signs of recurrence after 1-year follow-up. Our review focuses on the distinguishing characteristics of these rare neoplasms as we explore their differential diagnosis.

Keywords: Obstetrics and gynaecology; Pathology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Neoplasms, Fibroepithelial* / diagnosis
  • Neoplasms, Fibroepithelial* / pathology
  • Neoplasms, Fibroepithelial* / surgery
  • Neoplasms, Fibrous Tissue* / pathology
  • Polyps* / diagnosis
  • Polyps* / pathology
  • Polyps* / surgery
  • Vulva / pathology
  • Vulvar Neoplasms* / diagnosis
  • Vulvar Neoplasms* / pathology
  • Vulvar Neoplasms* / surgery