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Giant Fibroepithelial Stromal Polyp of the Vulva: Diffusion-Weighted and Conventional MRI Features and Pathologic Correlation.
Journal of Pediatric and Adolescent Gynecology 2018 August 25
BACKGROUND: Fibroepithelial stromal polyp (FESP) is a rare benign mass, usually presenting at the vagina. Here we report the first case of contrast-enhanced magnetic resonance imaging (CE-MRI) with diffusion-weighted images (DWI) of a giant vulvar FESP and compare the MRI features with the histopathologic results.
CASE: A 14-year-old girl presented with a huge mass as large as 20 cm that originated from the labium majora. Preoperative MRI showed a polypoid mass consisting of a central stalk and surrounding stroma. Different signal intensities on MRI were correlated with various histopathologic features. The mass was cured by complete excision without remnant lesion.
SUMMARY AND CONCLUSION: CE-MRI with DWI can help us differentiate FESP from other vulvovaginal stromal tumors with a complete evaluation of the external and internal structures and the depth of invasion.
CASE: A 14-year-old girl presented with a huge mass as large as 20 cm that originated from the labium majora. Preoperative MRI showed a polypoid mass consisting of a central stalk and surrounding stroma. Different signal intensities on MRI were correlated with various histopathologic features. The mass was cured by complete excision without remnant lesion.
SUMMARY AND CONCLUSION: CE-MRI with DWI can help us differentiate FESP from other vulvovaginal stromal tumors with a complete evaluation of the external and internal structures and the depth of invasion.
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