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Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2020 September;179(9):552-5

DOI: 10.23736/S0393-3660.19.04149-4


language: English

An extremely rare form of spontaneous vulvar endometriosis: a case report and review of the literature

Angel D. YORDANOV 1 , Lachezar S. TANTCHEV 2, Strahil A. STRASHILOV 3, Polina P. VASILEVA 4, Assia A. KONSOULOVA 5, Mariela B. VASILEVA-SLAVEVA 6

1 Department of Gynecologic Oncology, Medical University, Pleven, Bulgaria; 2 Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria; 3 Department of Plastic Restorative, Reconstructive and Aesthetic Surgery, Medical University, Pleven, Bulgaria; 4 Department of Obstetrics and Gynecology, Medical University, Pleven, Bulgaria; 5 Complex Oncological Center, Burgas, Bulgaria; 6 EXTRO Lab, Department of Therapeutic Radiology and Oncology, Medical University of Innsbruck, Innsbruck, Austria

Endometriosis is a common benign condition in women of childbearing age and is most frequently diagnosed in the pelvis. Extrapelvic localization is rarer and may frequently be in addition to pelvic lesions. Typically, symptoms are non-specific and introduce a delay into the diagnosis. The multitude of localizations of the endometriosis lesions additionally prolongs the time to diagnosis. We present a case of a 50-year-old premenopausal woman with bilateral cystic lesions in the anterior part of the minor labia. They were considered as fibroids for over 25 years as they appeared after an open trauma. Diagnosis of endometriosis was obtained only after surgical excision for other benign gynecological condition. Although its frequency the etiology and pathogenesis of endometriosis remain unclear. There are several pathogenesis theories which cannot explain all forms of this disease. In this particular case is very difficult to realize the way of development of endometriosis. Despite its rarity, vulvar endometriosis may also occur as a spontaneous condition. Its etiology remains unclear.

KEY WORDS: Surgery; Etiology; Endometriosis

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