Benign Mesenchymal Tumor of the Vulva: A Case Report and Narrative Review of the Literature

TL;DR

A 48-year-old woman had a benign skin growth on her vulva that was surgically removed and did not return after six months.

Contribution

This case report adds a rare clinical example of a benign mesenchymal tumor in the vulva with detailed histopathological findings.

Findings

The tumor was confirmed as a polypoid proliferation with hypocellular stroma and spindle cells.

The patient showed no recurrence six months after surgical excision.

No identifiable risk factors were found for the tumor's rapid growth.

Abstract

Acrochordons are benign skin neoplasms that originate from mesenchymal and ectodermal tissues. These lesions are commonly found in regions of the skin that experience friction or folding. This report presents a 48-year-old female patient who exhibited a 3 cm acrochordon located on the right labia majora of her vulva. A thorough review of her medical history did not reveal any identifiable risk factors that could account for the onset and rapid growth of the polyp. A wide surgical excision was conducted, and the subsequent histopathological examination confirmed a polypoid proliferation of the stroma, accompanied by a hypocellular stroma composed of spindle cells and loose collagenous stroma. At the six-month follow-up, the patient showed no signs of recurrence.

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