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Case Reports
. 2021 May 25;59(237):504-505.
doi: 10.31729/jnma.6180.

Vaginal Leiomyoma: A Case Report

Miki Shah  1 , Rachana Saha  1 , Niranjan Kc  2
Affiliations
Case Reports

Vaginal Leiomyoma: A Case Report

Miki Shah et al. JNMA J Nepal Med Assoc. .

Abstract

Leiomyomas are common benign tumors of the uterus, affecting 20-30% of women of reproductive age group. But vaginal leiomyomas remain an uncommon entity with only about 300 reported cases. The first case was described in 1733. Only a few cases have been reported in Nepal to date. Tumors are thought to arise from Mullerian smooth muscle cells in the sub-epithelium of the vagina. Vaginal leiomyomas are usually situated in the anterior vaginal wall. Here, we report a case of a 48-year old multipara who presented the outpatient department with the ultrasonographic report showing multiple uterine fibroids but was asymptomatic. A physical examination showed a mass in the right vaginal wall. Pervaginal removal of the tumor was performed and subsequent histopathology revealed a vaginal leiomyoma. Removal of the tumor by the vaginal route, wherever possible, with the subsequent histopathological examination, appears to be the optimum management plan.

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Conflict of interest statement

None.

Figures

Figure 1.
Figure 1.. Intraoperative and postoperative pictures demonstrating removal of leiomyoma via vulvovaginal incision and its closure.
Figure 2.
Figure 2.. Vaginal tumor showing dense aggregation of spindle-shaped cells.
See this image and copyright information in PMC

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