An extremely rare form of spontaneous vulvar endometriosis: a case report and review of the literature

Angel Yordanov, Latchezar Tantchev, Strahil Strashilov, Polina Vasileva, Assia Konsoulova, Mariela Vasileva‐Slaveva
In: Gazzetta Medica Italiana Archivio per le Scienze Mediche · 2020 · vol. 179(9) · doi:10.23736/s0393-3660.19.04149-4 · W4247133651
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This case report describes an extremely rare instance of spontaneous vulvar endometriosis presenting as bilateral cystic lesions in the labia minora, diagnosed incidentally in a 50-year-old woman.

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Abstract

Endometriosis is a common benign condition in women of childbearing age and is most frequently diagnosed in the pelvis. Extrapelvic localization is rarer and may frequently be in addition to pelvic lesions. Typically, symptoms are non-specific and introduce a delay into the diagnosis. The multitude of localizations of the endometriosis lesions additionally prolongs the time to diagnosis. We present a case of a 50-year-old premenopausal woman with bilateral cystic lesions in the anterior part of the minor labia. They were considered as fibroids for over 25 years as they appeared after an open trauma. Diagnosis of endometriosis was obtained only after surgical excision for other benign gynecological condition. Although its frequency the etiology and pathogenesis of endometriosis remain unclear. There are several pathogenesis theories which cannot explain all forms of this disease. In this particular case is very difficult to realize the way of development of endometriosis. Despite its rarity, vulvar endometriosis may also occur as a spontaneous condition. Its etiology remains unclear.

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Condition tags

endometriosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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