RARE BENIGN VULVAR TUMOURS: Case Series

• DR T KIRUTHIKA,*  
• Dr Jayanthy T

Abstract

Vulvar tumours are rare benign lesions of the lower genital tract, frequently prompting gynaecological consultations. This case series explores three distinct presentations: vulvar angiofibroma, phyllodes tumour of the vulva, and haemangioma of the vulva, each illustrating unique diagnostic and management challenges. Vulvar tumours often mimic other pathologies, necessitating comprehensive clinical and pathological evaluations to distinguish between benign, pre-malignant, and malignant stages. Common imaging modalities employed include ultrasound and MRI, which aid in preliminary assessments and guide further invasive diagnostics. Histopathology usually confirms the diagnosis. Treatment typically involves surgical excision, with the extent depending on the tumour type and its characteristics. Prognosis is generally favourable, but follow-up is crucial for monitoring recurrence or potential malignant transformation. Recurrence varies, with phyllodes tumours showing a higher recurrence rate if not completely excised, whereas angiofibroma and haemangiomas are less likely to recur. This case series underscores the importance of accurate diagnosis and tailored management strategies in optimizing outcomes for patients with these rare vulvar tumours.

Keywords

Vulvar tumours, Angiofibroma, Phyllodes tumour, Haemangioma, Surgical excision, Gynaecologic oncology