# A Rare Case of Vulval Leiomyoma

## TL;DR

This paper reports a rare case of a benign smooth muscle tumor in the vulva that was correctly diagnosed and treated with surgery.

## Contribution

The novelty lies in presenting a confirmed case of vulval leiomyoma, a rare condition that is often misdiagnosed.

## Key findings

- A 40-year-old woman was diagnosed with vulval leiomyoma after excisional biopsy and histopathological analysis.
- Vulval leiomyomas are rare and can be mistaken for other vulval lesions like Bartholin cysts or lipomas.
- Surgical excision is the standard and effective treatment for this condition.

## Abstract

Vulval leiomyomas are exceedingly rare benign smooth muscle tumours, with limited cases reported in the literature. They often present a diagnostic challenge due to their uncommon location and nonspecific clinical presentation, mimicking other vulval pathologies. We present the case of a 40-year-old female who reported a painless, slowly enlarging mass on the left side of the vulva. An excisional biopsy was performed, and histopathological analysis confirmed the diagnosis of vulval leiomyoma. Vulval leiomyomas are rare and may be misdiagnosed due to their similarity to other vulval lesions such as Bartholin cysts, lipomas, or fibromas. The standard treatment is surgical excision, which is often curative.