Pedunculated Vulvar Hemangioma in an Adult Woman: A Rare Case Report
DOI:
https://doi.org/10.35790/msj.v8i1.64500Keywords:
vulvar hemangioma; benign vascular neoplasm; surgical excisionAbstract
Introduction: Vulvar hemangioma in adults constitutes an exceedingly rare benign vascular neoplasm, often mimicking more common vulvar pathologies and thereby complicating clinical diagnosis.
Case: A 41-year-old multiparous woman (P3A0) presented with a progressively enlarging pedunculated mass on the left vulva, associated with pain, malodorous discharge, and localized inflammation. Surgical excision was undertaken, and histopathological evaluation revealed numerous dilated capillary vascular channels engorged with erythrocytes and accompanied by inflammatory infiltrates without cytologic atypia, consistent with capillary hemangioma. The postoperative course was uneventful, characterized by optimal hemostasis, satisfactory epithelialization, and complete wound healing. Early postoperative follow-up at 2–3 days revealed satisfactory wound healing without evidence of residual lesion or early recurrence, supporting a successful and definitive surgical result.
Discussion: Histopathological confirmation remains the gold standard for definitive diagnosis. Surgical excision provides both diagnostic clarity and therapeutic benefit, with favorable outcomes, although long-term surveillance is recommended to detect recurrence or complications.
Conclusion: Hemangioma should be recognized as a rare differential diagnosis of vulvar masses in adults, with surgical excision as the treatment of choice and structured follow-up warranted.
Keywords: Vulvar hemangioma, benign vascular neoplasm, surgical excision, local inflammation
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