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Fibroepithelial polyp of the vulva accompanied by lymphangioma circumscriptum

Identifieur interne : 009363 ( Ncbi/Merge ); précédent : 009362; suivant : 009364

Fibroepithelial polyp of the vulva accompanied by lymphangioma circumscriptum

Auteurs : Min Hee Lee [Corée du Sud] ; Ji Young Hwang [Corée du Sud] ; Jin Hee Lee [Corée du Sud] ; Dong Hoon Kim [Corée du Sud] ; Seung Hun Song [Corée du Sud]

Source :

RBID : PMC:5547092

Abstract

Fibroepithelial polyp (FEP) and lymphangioma circumscriptum (LC) of the vulva are rare diseases that occur generally in young to middle-aged women. The pathogenesis of FEP is not clearly understood. Several previous cases have suggested that a hormonal influence may be a predisposing condition for developing FEP with or without chronic inflammation. A 68-year-old postmenopausal woman presented with a history of multiple raised lesions on the vulva with a 1-year duration. Additionally, a pedunculated mass had appeared 6 months earlier in the left lower labia minora. The patient underwent simple excision by electrocautery. The final pathological diagnosis was FEP with LC. In this case, the development of FEP was associated only with chronic inflammation induced by LC. Therefore, the case supports the hypothesis that a chronic inflammatory process may be related to the development of FEP even without hormonal influence.


Url:
DOI: 10.5468/ogs.2017.60.4.401
PubMed: 28791276
PubMed Central: 5547092

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PMC:5547092

Le document en format XML

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<journal-id journal-id-type="iso-abbrev">Obstet Gynecol Sci</journal-id>
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</subj-group>
</article-categories>
<title-group>
<article-title>Fibroepithelial polyp of the vulva accompanied by lymphangioma circumscriptum</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Min Hee</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hwang</surname>
<given-names>Ji Young</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Jin Hee</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Dong Hoon</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-9192-8984</contrib-id>
<name>
<surname>Song</surname>
<given-names>Seung Hun</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
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<aff id="A1">
<label>1</label>
Department of Obstetrics and Gynecology, Gumi CHA Hospital, CHA University, Gumi, Korea.</aff>
<aff id="A2">
<label>2</label>
Department of Radiology, Gumi CHA Hospital, CHA University, Gumi, Korea.</aff>
<aff id="A3">
<label>3</label>
Department of Pathology, Gumi CHA Hospital, CHA University, Gumi, Korea.</aff>
<aff id="A4">
<label>4</label>
Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Seung Hun Song. Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea. Tel: +82-31-780-6191, Fax: +82-82-31-780-5600,
<email>shsong8@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>7</month>
<year>2017</year>
</pub-date>
<volume>60</volume>
<issue>4</issue>
<fpage>401</fpage>
<lpage>404</lpage>
<history>
<date date-type="received">
<day>06</day>
<month>12</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>22</day>
<month>2</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>3</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 Korean Society of Obstetrics and Gynecology</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Fibroepithelial polyp (FEP) and lymphangioma circumscriptum (LC) of the vulva are rare diseases that occur generally in young to middle-aged women. The pathogenesis of FEP is not clearly understood. Several previous cases have suggested that a hormonal influence may be a predisposing condition for developing FEP with or without chronic inflammation. A 68-year-old postmenopausal woman presented with a history of multiple raised lesions on the vulva with a 1-year duration. Additionally, a pedunculated mass had appeared 6 months earlier in the left lower labia minora. The patient underwent simple excision by electrocautery. The final pathological diagnosis was FEP with LC. In this case, the development of FEP was associated only with chronic inflammation induced by LC. Therefore, the case supports the hypothesis that a chronic inflammatory process may be related to the development of FEP even without hormonal influence.</p>
</abstract>
<kwd-group>
<kwd>Lymphangioma</kwd>
<kwd>Neoplasms, fibroepithelial</kwd>
<kwd>Postmenopause</kwd>
<kwd>Vulva</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<title>Clinical appearance of the vulva. (A) Preoperation. Multiple frog spawn-like lesions and a large (5 cm×3.5 cm) pedunculated polyp were present. (B) Postoperation. The lesions were no longer present. M, fibroepithelial polyp.</title>
</caption>
<graphic xlink:href="ogs-60-401-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<title>Pathologic findings of lesions. (A) The large nodule revealed diffuse fibrous stroma and hyperplastic epidermis where few lymphatic vessels were dilated (trichrome stain, ×40). (B) The dilated lymphatic vessels were lined by endothelial cells positive for D2-40. Adjacent small blood vessels were unstained by D2-40 (immunostain for D2-40, ×200).</title>
</caption>
<graphic xlink:href="ogs-60-401-g002"></graphic>
</fig>
</floats-group>
</pmc>
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<country>
<li>Corée du Sud</li>
</country>
</list>
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<country name="Corée du Sud">
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<name sortKey="Lee, Min Hee" sort="Lee, Min Hee" uniqKey="Lee M" first="Min Hee" last="Lee">Min Hee Lee</name>
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<name sortKey="Hwang, Ji Young" sort="Hwang, Ji Young" uniqKey="Hwang J" first="Ji Young" last="Hwang">Ji Young Hwang</name>
<name sortKey="Kim, Dong Hoon" sort="Kim, Dong Hoon" uniqKey="Kim D" first="Dong Hoon" last="Kim">Dong Hoon Kim</name>
<name sortKey="Lee, Jin Hee" sort="Lee, Jin Hee" uniqKey="Lee J" first="Jin Hee" last="Lee">Jin Hee Lee</name>
<name sortKey="Song, Seung Hun" sort="Song, Seung Hun" uniqKey="Song S" first="Seung Hun" last="Song">Seung Hun Song</name>
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