Necrotizing ruptured vaginal leiomyoma mimicking a malignant
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Introduction
Vaginal leiomyoma is a rare tumor, with 300 cases reported in the worldwide literature and seldom in Korea. Though the clinical presentation varies considerably, the tumors are generally small and usually arise along the anterior vaginal wall and rarely in the lateral wall. The tumors are often asymptomatic, but depending on the site of occurrence, they show variable symptoms including lower abdominal pain, low back pain, vaginal bleeding, dyspareunia, urinary symptoms like frequency, dysuria, or other features of urinary obstruction. These lesions can be misdiagnosed as cystocele, urethrocele, skene duct abscess, gartner duct cysts, urethral diverticulum, vaginal cysts, bartholin gland cysts, and vaginal malignancies.

This report described the clinical characteristics and radiologic findings of an unusual vaginal leiomyoma, and provided information that can help the clinician to identify such vaginal leiomyomas.

Case report
A 43-year-old female patient was treated for a vaginal mass which had been palpable 3 years prior, and recently increased in size over the course of 7 days. The mass had appeared initially 3 years ago as 2 to 3 cm, with no subsequent increases. Sudden, rapid growth occurred during the course of 7 days. She presented at our hospital, with a 7-cm protruding vaginal mass......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4245356/
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