Serous papillary cystadenofibroma of vulva: A histopathological surprise

• Published in: International journal of surgery case reports Vol. 83; p. 105776
• Main Authors: Roshini, A.P., Pandarinath, Audi, Corriea, Mervyn
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01-06-2021; Elsevier
• Subjects: Case Report; Complex cyst of vulva; Cystadenofibroma; Serous papillary cystadenofibroma; Vulva; Vulva; Cystadenofibroma; Serous papillary cystadenofibroma; Complex cyst of vulva
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2021.105776

•We report a case of a 45-year old female with a history of swelling in the genital region for the last 3 years.•Local examination revealed a pedunculated swelling, soft in consistency, arising from the right genital fold – vulva.•Ultrasonogram showed an encapsulated heterogenous complex cyst, with septations and internal echoes.•MRI on T2W image showed characteristic low signal, well defined multiloculated cystic swelling.•After wide local excision, the histopathology was suggestive of serous papillary cystadenofibroma (SPCAF) of vulva, with no previous cases being reported.•SPCAFs are uncommon tumours with high degree of heterogeneity which becomes a major challenge.
Serous Papillary Cystadenofibromas (SPCAFs) of the vulva is rare.
We report a case of a 45-year-old female who presented with a painless slow growing mass in the genital region. Examination revealed a 10 × 8 cm swelling from the vulva. USG was suggestive of a complex cystic lesion and MRI showed a low signal intensity lesion on T2W image. She underwent wide local excision and the histopathology was suggestive of a SPCAF.
Vulval tumors rare- account for 4 % of female genital tract tumors. Mainstay of treatment in cases of SPCAF is wide local excision. Histopathology confirms the diagnosis and is used to rule out malignant transformation.
These represent uncommon tumors with high degree of heterogeneity which becomes a major challenge and systematic evaluation is crucial for clinical decision-making and patient management.