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CASE REPORT
An unusual vaginal lump
  1. Stella Clare Seppings1,
  2. Hashim Samir2,
  3. Islam Abdelrahman3
  1. 1Department of Otorhinolaryngology, Abertawe Bro Morgannwg University Health Board, Swansea, UK
  2. 2Department of Radiology, West Wales General Hospital, Carmarthen, UK
  3. 3Department of Obstetrics and Gynaecology, West Wales General Hospital, Carmarthen, UK
  1. Correspondence to Dr Stella Clare Seppings, stella.seppings{at}gmail.com

Summary

A 46-year-old woman presented with a 2-week history of a painless golf ball sized lump in her vagina. Despite transvaginal ultrasound scan, biopsy and MRI, it was only after surgery had been performed that it became clear what the nature of the mass actually was.

Immunohistochemistry revealed the lump to be an aggressive angiomyxoma. Follow-up MRI showed residual (or recurrence of) angiomyxoma which was successfully treated with monthly injections of Prostap (leuprorelin acetate), a gonadotropin-releasing hormone agonist. Further MRI showed complete resolution of the lesion.

https://doi.org/10.1136/bcr-2016-218027

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    Footnotes

    • Contributors SCS assisted with surgery, interviewed the patient, gained consent for the report, and wrote the case report except the radiological and surgical details. HS contributed the sections on the radiological features of the case. IA identified the case, performed the surgery, identified other cases in the locality, found original papers relevant to the literature review, wrote the section on the surgical details, edited the final paper and is guarantor.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.