Vaginal leiomyoma: A case report

Gao,Ying; Qin,Yujie; Li,Jing; Qian,Jun; Yao,Jiaxi

doi:10.3892/etm.2022.11597

Vaginal leiomyoma: A case report

Authors:
- Ying Gao
- Yujie Qin
- Jing Li
- Jun Qian
- Jiaxi Yao
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Affiliations: Department of Obstetrics and Gynecology, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Department of Endoscopy Center, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Department of Image Center, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Institute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China
Published online on: September 7, 2022 https://doi.org/10.3892/etm.2022.11597
Article Number: 661
Copyright: © Gao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Vaginal leiomyomas are rare and only a small number of cases have been reported in the literature. Due to the rarity of the disease and complexity of the vaginal anatomy, definitive diagnosis and treatment are challenging. A 48‑year‑old female patient presented with a vaginal mass and urinary incontinence. Magnetic resonance imaging (MRI) revealed a clear tumor measuring 65x46 mm in diameter at the anterior vaginal wall. Intraoperatively, frozen‑section analysis was performed to confirm that the tumor was benign. The tumor was resected using the transvaginal approach. The patient recovered well without any complications. The pathological diagnosis was leiomyoma. The present case suggests that intraoperative frozen‑section analysis should be performed in all patients with vaginal wall tumors with MRI findings suggestive of malignancy, and surgical treatment should be performed once the diagnosis is confirmed to prevent misdiagnosis and incorrect treatment.

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1	Egbe TO, Kobenge FM, Metogo JAM, Manka'a Wankie E, Tolefac PN and Belley-Priso E: Vaginal leiomyoma: Medical imaging and diagnosis in a resource low tertiary hospital: Case report. BMC Womens Health. 20(12)2020.PubMed/NCBI View Article : Google Scholar
2	Zhang NN, Li D, Chen SL, Zuo N, Sun TS and Yang Q: An effective method using laparoscopy in treatment of upper vaginal leiomyoma. Fertil Steril. 114:185–186. 2020.PubMed/NCBI View Article : Google Scholar
3	Shah M, Saha R and Kc N: Vaginal leiomyoma: A case report. JNMA J Nepal Med Assoc. 59:504–505. 2021.PubMed/NCBI View Article : Google Scholar
4	Yao J, Xi W, Zhu Y, Wang H, Hu X and Guo J: Checkpoint molecule PD-1-assisted CD8⁺ T lymphocyte count in tumor microenvironment predicts overall survival of patients with metastatic renal cell carcinoma treated with tyrosine kinase inhibitors. Cancer Manag Res. 10:3419–3431. 2018.PubMed/NCBI View Article : Google Scholar
5	Madhu C, Swift S, Moloney-Geany S and Drake MJ: How to use the pelvic organ prolapse quantification (POP-Q) system? Neurourol Urodyn. 37 (Suppl 1):S39–S43. 2018.PubMed/NCBI View Article : Google Scholar
6	Pollock GR, Twiss CO, Chartier S, Vedantham S, Funk J and Arif Tiwari H: Comparison of magnetic resonance defecography grading with POP-Q staging and Baden-Walker grading in the evaluation of female pelvic organ prolapse. Abdom Radiol (NY). 46:1373–1380. 2021.PubMed/NCBI View Article : Google Scholar
7	Deshpande HG, Madkar CS and Kiwalkar SR: Relationship of decubitus ulcer on cervix in pelvic organ prolapse with POP-Q staging. J Obstet Gynaecol India. 69:266–271. 2019.PubMed/NCBI View Article : Google Scholar
8	Jordanov A, Strateva D and Hinkova N: Vaginal leiomyoma-a case report and review of the literature. Akush Ginekol (Sofiia). 53:33–35. 2014.PubMed/NCBI(In Bulgarian).
9	Elsayes KM, Narra VR, Dillman JR, Velcheti V, Hameed O, Tongdee R and Menias CO: Vaginal masses: Magnetic resonance imaging features with pathologic correlation. Acta Radiol. 48:921–933. 2007.PubMed/NCBI View Article : Google Scholar
10	Liu JH, Zheng Y and Wang YW: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) as treatment for upper vaginal leiomyoma: A case report. Med (Baltim). 100(e25969)2021.PubMed/NCBI View Article : Google Scholar
11	Malik S, Mahendru R and Rana SS: Vaginal leiomyoma presenting as dysfunctional uterine bleeding. Taiwan J Obstet Gynecol. 49:531–532. 2010.PubMed/NCBI View Article : Google Scholar
12	Riss P and Dwyer PL: The POP-Q classification system: Looking back and looking forward. Int Urogynecol J. 25:439–440. 2014.PubMed/NCBI View Article : Google Scholar
13	Harmanli O: POP-Q 2.0: Its time has come! Int Urogynecol J. 25:447–449. 2014.PubMed/NCBI View Article : Google Scholar
14	Meniru GI, Wasdahl D, Onuora CO, Hecht BR and Hopkins MP: Vaginal leiomyoma co-existing with broad ligament and multiple uterine leiomyomas. Arch Gynecol Obstet. 265:105–107. 2001.PubMed/NCBI View Article : Google Scholar
15	Akkamahadevi CH, Neekita P, Pooja S, Bhavana N, Prashanth R and Shivakumar KS: Benign primary vaginal leiomyoma-A diagnostic challenge: Rare case report. Eur J Obstet Gynecol Reprod Biol. 247:261–262. 2020.PubMed/NCBI View Article : Google Scholar
16	Yarci A, Bayramov V, Sükür YE, Yüce T and Berker B: Vaginal vault leiomyoma: 25 years after total abdominal hysterectomy. J Minim Invasive Gynecol. 17:116–117. 2010.PubMed/NCBI View Article : Google Scholar