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Published 11 June 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.11.2008.1232]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Subpubic cartilaginous cyst: an unusual cause of a vulval mass

Richard Wesley Bullock, Deanne Patrice Soares, Sundeep Shah

University Hospital of the West Indies, Radiology Section, Mona, Kingston 6, Jamaica

Correspondence to:
Deanne Patrice Soares, deanne_soares{at}yahoo.com

SUMMARY

We present a case of a postmenopausal female who visited her doctor for a slowly growing mass in the vulval region. The mass did not show typical clinical features of a vulval neoplasm. Magnetic resonance imaging (MRI) revealed a mass arising from the undersurface of the symphysis pubis. A literature review revealed characteristics of this lesion compatible with a subpubic cartilaginous cyst—a rare benign degenerative condition of the symphysis pubis. As a result the mass was managed non-operatively and the patient remains well 2 years later. This article highlights the role of MRI in the diagnosis of this unusual vulval mass.


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