Rare benign vulvar tumors

To optimize the surgical treatment of patients with rare benign vulvar tumors on the basis of clinical characteristics of the disease.

This article presents clinical cases of benign vulvar tumors such as superficial angiomyxoma, papillary hidradenoma, fibroangiolipoma, and vulvar fibropapilloma.

The article describes patients’ complaints, case history, clinical picture, and the type of pathologic focus in the vulva area. It emphasizes the main clinical characteristics which are necessary for timely diagnosis of the disease.

Rare benign vulvar tumors are often difficult to diagnose. A thorough examination of the inguinal-femoral lymph nodes is essential for an accurate diagnosis. The absence of enlarged lymph nodes, absence of tumor infiltration of the underlying tissues, expansive growth, and clear boundaries with healthy tissues are indicative of a benign tumor. The doctor can frequently be confused by the large size of the mass; however, a long history of the disease in combination with the above-mentioned characteristics also suggests that the process is benign. Meanwhile, the presence of enlarged, dense, painless regional lymph nodes can be indicative of a malignant tumor, even if the primary focus is small.

Conclusion: When choosing a surgical and postoperative treatment option, one should consult the physician and the morphologist; additional clinical data presented to the morphologist can help make the final diagnosis easier and exclude suboptimal surgery.