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Molluscum pendulum géant de la vulve chez une multipare

Giant molluscum pendulums of the vulva are benign tumors, usually small in size. Larger lesions are rare and probably due to proliferation of mesenchymal cells within the hormone-sensitive subepithelial stromal layer of the lower genital tract. The size of the lesion represents an important function...

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Autores principales: Gassama, Mamadou, Sissoko, Madou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396379/
https://www.ncbi.nlm.nih.gov/pubmed/34512849
http://dx.doi.org/10.11604/pamj.2021.39.113.29582
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author Gassama, Mamadou
Sissoko, Madou
author_facet Gassama, Mamadou
Sissoko, Madou
author_sort Gassama, Mamadou
collection PubMed
description Giant molluscum pendulums of the vulva are benign tumors, usually small in size. Larger lesions are rare and probably due to proliferation of mesenchymal cells within the hormone-sensitive subepithelial stromal layer of the lower genital tract. The size of the lesion represents an important functional and aesthetic prejudice. This rare discrete swelling deserves to be known because of its functional impact and/or uncertain evolution. We report a case of a 38-years-old female patient, multiparous G4P4V4 whose last child is 1-year-old, she consulted on 05th December 2018 for a large evolving mass in the left inguinal fold for 11 years. The interrogation did not find any particular medical-surgical history. Physical examination revealed a 20/10 cm mass at the base of the left labia majora, soft in consistency, painless, mobile in relation to the deep plane, and dotted with a hypochromic cicatricial macule (A and B). Endoanal examination found non reducible hemorrhoidal packets (B). The hypothesis of giant molluscum pendulum was evoked. The hypothesis of giant molluscum pendulum was evoked. The preoperative blood test showed a positive blood group B, HIV serology was negative, the hemoglobin level was 13.2 g/l, the feasible hemostasis test (TS-TC) was normal. We performed surgical excision of the tumor under general anesthesia. The specimen weighed 2500g (C). Histology showed edematous, myxoid, and richly vascularized connective tissue without cytonuclear atypia (D). We referred the patient to hepato-gastroenterology for management of the hemorrhoid.
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spelling pubmed-83963792021-09-09 Molluscum pendulum géant de la vulve chez une multipare Gassama, Mamadou Sissoko, Madou Pan Afr Med J Images in Clinical Medicine Giant molluscum pendulums of the vulva are benign tumors, usually small in size. Larger lesions are rare and probably due to proliferation of mesenchymal cells within the hormone-sensitive subepithelial stromal layer of the lower genital tract. The size of the lesion represents an important functional and aesthetic prejudice. This rare discrete swelling deserves to be known because of its functional impact and/or uncertain evolution. We report a case of a 38-years-old female patient, multiparous G4P4V4 whose last child is 1-year-old, she consulted on 05th December 2018 for a large evolving mass in the left inguinal fold for 11 years. The interrogation did not find any particular medical-surgical history. Physical examination revealed a 20/10 cm mass at the base of the left labia majora, soft in consistency, painless, mobile in relation to the deep plane, and dotted with a hypochromic cicatricial macule (A and B). Endoanal examination found non reducible hemorrhoidal packets (B). The hypothesis of giant molluscum pendulum was evoked. The hypothesis of giant molluscum pendulum was evoked. The preoperative blood test showed a positive blood group B, HIV serology was negative, the hemoglobin level was 13.2 g/l, the feasible hemostasis test (TS-TC) was normal. We performed surgical excision of the tumor under general anesthesia. The specimen weighed 2500g (C). Histology showed edematous, myxoid, and richly vascularized connective tissue without cytonuclear atypia (D). We referred the patient to hepato-gastroenterology for management of the hemorrhoid. The African Field Epidemiology Network 2021-06-08 /pmc/articles/PMC8396379/ /pubmed/34512849 http://dx.doi.org/10.11604/pamj.2021.39.113.29582 Text en Copyright: Mamadou Gassama et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Images in Clinical Medicine
Gassama, Mamadou
Sissoko, Madou
Molluscum pendulum géant de la vulve chez une multipare
title Molluscum pendulum géant de la vulve chez une multipare
title_full Molluscum pendulum géant de la vulve chez une multipare
title_fullStr Molluscum pendulum géant de la vulve chez une multipare
title_full_unstemmed Molluscum pendulum géant de la vulve chez une multipare
title_short Molluscum pendulum géant de la vulve chez une multipare
title_sort molluscum pendulum géant de la vulve chez une multipare
topic Images in Clinical Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396379/
https://www.ncbi.nlm.nih.gov/pubmed/34512849
http://dx.doi.org/10.11604/pamj.2021.39.113.29582
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