BMJ Case Reports 2010; doi:10.1136/bcr.05.2010.2985
  • Rare disease

Giant fibroma of the vulva

  1. Ntiense M Utuk1
  1. 1Department of Obstetrics/Gynaecology, University of Uyo Teaching Hospital, Uyo, Nigeria
  2. 2Department of Pathology, University of Uyo Teaching Hospital, Uyo, Nigeria
  1. Correspondence to Aniekan M Abasiattai, animan74{at}


A 50-year-old grandmultiparous petty trader presented in the gynaecological unit of the University of Uyo Teaching Hospital with a painless groin swelling of 8 years’ duration, which had progressively increased in size. She had received several concoctions from a traditional healer who also made several incisions on her thighs and inguinal region. On examination, there were multiple scarification marks in the axilla, inguinal region and medial aspects of both thighs. There was a very huge, firm, non-tender mass involving the right vulva and measuring 40 by 35 cm (figure 1). The vaginal orifice was deviated to the left by the mass, the uterus was normal size and the adnexa were normal. She had an excision biopsy under general anaesthesia (figure 2) and the histology confirmed fibroma of the vulva (figure 3). She had an uneventful postoperative period and the wound healed well with good cosmetic results.

Figure 1

A huge vulva mass.

Figure 2

The vulva after the mass has been excised.

Figure 3

The histology confirming fibroma of the vulva.


  • Competing interests None.

  • Patient consent Obtained.

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