A Rare Localization of Endometriosis: Labium Minus

Adeviye Elçi Atılgan, Fedi Ercan, Fatma Kılıç
In: Turkiye Klinikleri Journal of Case Reports · 2019 · vol. 27(2) , pp. 68–71 · doi:10.5336/caserep.2018-62453 · W2921458580
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This case report describes a patient with a labial mass diagnosed as endometriosis via histological examination of a chocolate-colored mass during surgery.

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This paper reports a rare case of endometriosis localized to the labium minus in a patient presenting with a labial mass. The endometriosis diagnosis was not suspected until surgery when a chocolate-colored mass content was observed, and definitive confirmation was provided by histological pathology. The authors state that vulvar endometriosis may be suspected when a cystic mass enlarges at menses, and they discuss the clinical history and surgical approach, with the main limitation being that it is a single case report with no comparative analysis. This paper is centrally about endometriosis — specifically endometriosis of the labium minus (vulvar endometriosis).

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Abstract

Endometriosis on the labial localization is quite rare and there is only a few case reported in the literature. We report a patient complained of labial mass. Endemetriosis was not firstly estimated up to the operation when seen chocolate-colored mass content and the definite diagnosis was endometriosis in the labium minus according to histological pathology report. The endometriosis on the vulva may be suspected when cystic mass enlarging at menses. In this report, labial endometriosis will be discussed with clinical history and surgical approach.
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Endometriosis on the labial localization is quite rare and there is only a few case reported in the literature. We report a patient complained of labial mass. Endemetriosis was not firstly estimated up to the operation when seen chocolate-colored mass content and the definite diagnosis was endometriosis in the labium minus according to histological pathology report. The endometriosis on the vulva may be suspected when cystic mass enlarging at menses. In this report, labial endometriosis will be discussed with clinical history and surgical approach. Keywords: Endometriosis; vulvar disease; vulvar cyst - Endometriosis. In: Fritz MA, Speroff L, eds. Clinical Gynecologic Endocrinology and Inferti-lity. 8 th ed. Wolters Kluwer: Lippincott Williams & Wilkins; 2011. p.1221-48. - Acién P, Velasco I. Endometriosis: a disease that remains enigmatic. ISRN Obstet Gynecol. 2013;2013;242149. [Crossref] [PubMed] [PMC] - Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, et al. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 1995;82(10):1349-51. [Crossref] [PubMed] - Mahmood TA, Templeton A. The impact of treatment on the natural history of 106 endometriosis. Hum Reprod. 1990;5(8):965-70. [Crossref] [PubMed] - Binder SS. Endometriosis of vulva and perineum; report of a case. Pac Med Surg. 1965;73(5):294-6. - Odobasic A, Pasic A, Iljazovic-Latifagic E, Iljazovic-Latifagic E, Odobasic A, Idrizovic E, et al. Perineal endometriosis: a case report and review of the literature. Tech Coloproctol. 2010;14 Suppl 1:S25-7. [Crossref ] [ PubMed] - Nasu K, Okamoto M, Nishida M, Narahara H. Endometriosis of the perineum. J Obstet Gynaecol Res. 2013;39(5):1095-7. [Crossref] [PubMed] - Aydin Y, Atis A, Polat N. Bilateral endometrioma of Bartholin glands accompanying ovarian endometrioma. J Obstet Gynaecol. 2011;31(2):187-9. [Crossref ] [PubMed] - Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: a report of 3 cases. Can J Surg. 2009;52(5):444-5. - Medical Management of Endometriosis. ACOG Practice Bulletin #11; 1999. - Ginger VA, Cold CJ, Yang CC. Structure and innervation of the labia minora: more than minor skin folds. Female Pelvic Med Reconstr Surg. 2011;17(4):180-3. [Crossref] [PubMed] - Wagner IJ, Damitz LA, Carey E, Zolnoun D. Bilateral accessory breast tissue of the vulva: a case report introducing a novel labiaplasty technique. Ann Plast Surg. 2013;70(5):549-52. [Crossref ] [PubMed] [PMC] - Wu C, Damitz L, Karrat KM, Mintz A, Zolnoun D. Clitoral epidermal inclusion cyst resection with intraoperative sensory mapping technique. Female Pelvic Med Reconstr Surg. 2016;22(3):e24-6. [Crossref][ PubMed] [PMC]

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