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Year : 2009  |  Volume : 30  |  Issue : 1  |  Page : 59-60
 

Unilateral vulval swelling: What is the diagnosis?


Department of Skin and V.D, Medical College and S.S.G. Hospital, Vadodara, India

Date of Web Publication5-Sep-2009

Correspondence Address:
Stuti Mahajan
Department of Skin and VD, Baroda Medical College, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7184.55478

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How to cite this article:
Mahajan S, Sarna J, Marfatia Y S. Unilateral vulval swelling: What is the diagnosis?. Indian J Sex Transm Dis 2009;30:59-60

How to cite this URL:
Mahajan S, Sarna J, Marfatia Y S. Unilateral vulval swelling: What is the diagnosis?. Indian J Sex Transm Dis [serial online] 2009 [cited 2019 Dec 5];30:59-60. Available from: http://www.ijstd.org/text.asp?2009/30/1/59/55478


A 17-year-old unmarried female presented with asymptomatic painless swelling over left side of vulva for three months. Initially small, it gradually progressed to the present size with no spontaneous bleeding or oozing. There were no constitutional symptoms. There was no history of tuberculosis, sexual contact, trauma or abdominal/genital surgery.

On examination, there was pedenculated, convoluted, flesh colored, smooth and non warty mass, with stalk length of approximately 10cm and globular mass of 3x3 cm, hanging from left side of labia majora. It was firm, non tender and local temperature over swelling was not raised. There was serosanginous discharge on puncturing it. There was no evidence of inguinal lymphadenopathy. There was no edema of lower extremities and vulva. No abnormality was detected in perianal region.

Routine investigations like hemogram, Chest X ray, USG abdomen, ELISA for HIV, VDRL, TPHA were normal. As there was no apparent cause of lesion, excision biopsy was done and it was subjected to histopathological examination.


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[Figure 1],[Figure 2],[Figure 3],[Figure 4]



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   References Top

1.Okur MI, Köse R, Yildirim AM, Cobanoðlu B. Lympangiectasia of the vulva accompanying congenital lymphedema. Dermatol Online J 2009;15:13.  Back to cited text no. 1    
2.Howarth D, Gloviczki P. Lymphoscintigraphy and lymphangiography of lymphangiectasia. J Nucl Med 1998;39:1635-8.  Back to cited text no. 2    
3.Huilgol SC, Neill S, Barlow RJ. CO 2 Laser therapy of vulval lymphangiectasia and lymphangioma circumscriptum. Am Soc Dermatol Surg 2002;28:575-7.  Back to cited text no. 3    
4.Buckley, DA, L Barnes. Vulvar lymphangiectasia due to recurrent cellulitis. Clin Exp Dermatol 1996;21:215-6.  Back to cited text no. 4    
5.Bailin PL, Kantor GR, Wheeland RG. Carbon dioxide laser vaporization of lymphangioma circumscriptum. J Am Acad Dermatol 1986;14:257-62.  Back to cited text no. 5    
6.Ahn SJ, Chang SE, Choi JH, Moon KC, Koh JK, Kim DY. A case of unresectable lymphangioma circumscriptum of the vulva successfully treated with OK-432 in childhood. J Am Acad Dermatol 2006;55:S106-7.  Back to cited text no. 6    


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  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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