Vulvar Leiomyoma Presenting as a Painless Vulvar Mass

A 21-year-old woman with a painless 3-cm vulvar mass underneath the right labia minora (Figure 1) had both a trans-labial ultrasound (Figure 2A) and MRI (Figure 2B) that demonstrated a well-circumscribed, vascular nodule. A fine needle biopsy was not considered due to its vascular nature. The patient underwent excision of the lesion with an epithelioid leiomyoma of the vulva confirmed histologically (Figure 3).

Source: The Journal of Minimally Invasive Gynecology - November 4, 2021 Category: OBGYN Authors: Crystal Witherspoon, Bobby Garcia, Sadikah Behbehani, Samar Nahas, Mallory A. Stuparich Tags: Images in Gynecologic Surgery Source Type: research