Volume 3, Issue 2 (2022)                   J Clinic Care Skill 2022, 3(2): 85-87 | Back to browse issues page
Article Type:
Case/Series Report |
Subject:

Print XML PDF HTML


History

Rights and permissions
1- Clinical Research Development Unit, Yasuj University of Medical Sciences, Yasuj, Iran , shadi_med70@yahoo.com
2- Department of Gynecology and Obstetrics, Faculty of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract   (639 Views)
Aims: Uterine myomas are common benign tumors of the uterus, but vaginal leiomyomas are extremely rare. They mostly arise from the anterior vaginal wall. These lesions may be asymptomatic or may cause pain or urinary tract symptoms. The present study was a report of an unusual case of vaginal myoma presenting only with lower abdominal pain and dyspareunia without any other complications.
Case Presentation: A 51-year-old postmenopausal woman referred to the gynecology department with complaint of lower abdominal pain and dyspareunia of 1 year duration. Local examination revealed a mass attached to the upper third of vaginal wall on the right side. The 2.5 × 1.5 × 1.5 cm tumor was excised. Subsequent histopathology showed vaginal leiomyoma.
Conclusion: Although vaginal tumors are rare, the tumor should be detected at an early stage due to its potential for malignant transformation, and complete removal of the tumor is recommended. Vaginal leiomyoma should be considered while taking medical history even in postmenopausal women.

 
Keywords:

References
1. Henry G, Bennett Jr, Milton M. Myoma of the vagina. Am J Obstet Gynecol. 1941;42(2):314-20. [DOI:10.1016/S0002-9378(16)40639-3]
2. Shah M, Saha R, Kc N. Vaginal leiomyoma: A case report. J Nepal Med Assoc. 2021;59(237):504-5. [DOI:10.31729/jnma.6180] [PMID] [PMCID]
3. Patil RR, Vijay NR, Joshi S. An unusual presentation of vaginal leiomyoma. J Midlife Health. 2019;10(4):204-5. [DOI:10.4103/jmh.JMH_40_19] [PMID] [PMCID]
4. Csatlós E, Rigó J, Jr Szabó I, Nagy Z, Joó JG. Uterine leiomyoma. Orvosi Hetilap. 2010;151(42):1734-41. [Hungarian] [DOI:10.1556/oh.2010.28977] [PMID]
5. Imai A, Furui T, Hatano Y, Suzuki M, Suzuki N, Goshima S. Leiomyoma and rhabdomyoma of the vagina Vaginal myoma. J Obstet Gynaecol. 2008;28(6):563-6. [DOI:10.1080/01443610802310333] [PMID]
6. Hameed N. Leiomyoma of the vagina. J Ayub Med Coll. 2003;15(2):63-4.
7. Chakrabarti I, De A, Pati S. Vaginal leiomyoma. J Midlife Health. 2011;2(1):42-3. [DOI:10.4103/0976-7800.83274] [PMID] [PMCID]
8. Sørensen M, Chauhan P. Leiomyoma can also be located in the vagina. Ugeskr Laeger 2011;173(21):1510-1.
9. Young SB, Rose PG, Reuter KL. Vaginal fibromyomata: Two cases with preoperative assessment, resection, and reconstruction. Obstet Gynecol. 1991;78(5 Pt 2):972-4.
10. Goyal LD, Kaur H, Kaur K, Kaur S. An unusual case of vaginal myoma presenting with postmenopausal bleeding. J Family Reprod Health. 2013;7(2):103-4.
11. Park SJ, Choi SJ, Han KH, Park KH, Chung H, Song JM. Leiomyoma of the vagina that caused cyclic urinary retention. Acta Obstet Gynecol Scand. 2007;86(1):102-4. [DOI:10.1080/00016340500334828] [PMID]
12. Asnani M, Srivastava K, Gupta HP, Kunwar S, Srivastava AN. A rare case of giant vaginal fibromyoma. Intractable Rare Dis Res. 2016;5(1):44-6. [DOI:10.5582/irdr.2015.01037] [PMID] [PMCID]
13. Koranne PS, Raut D, Wahane A, Uike P. A rare case of anterior vaginal wall leiomyoma. J Obstet Gynaecol India. 2015;65(2):129-31. [DOI:10.1007/s13224-014-0610-8] [PMID] [PMCID]
14. Kawaguchi K, Fujii S, Konishi I, Iwai T, Nanbu Y, Nonogaki H, et al. Immunohistochemical analysis of oestrogen receptors, progesterone receptors and Ki-67 in leiomyoma and myometrium during the menstrual cycle and pregnancy. Virchows Arch A Pathol Anat Histopathol. 1991;419(4):309-15. [DOI:10.1007/BF01606522] [PMID]