Giant primary vaginal tubulovillous adenoma: A case report and review of literature.
Urol Case Rep 2021;
38:101734. [PMID:
34141588 PMCID:
PMC8184522 DOI:
10.1016/j.eucr.2021.101734]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 05/19/2021] [Indexed: 11/20/2022] Open
Abstract
Primary adenomas are common in the gastrointestinal tract but exceedingly rare on the periurethral surface and vagina. The pathogenesis remains unknown but vaginal adenomas are hypothesized to arise from vaginal adenosis or embryonic cloacal remnants and possess malignant potential. We present a case of a large primary vaginal tubulovillous adenoma in an eighty-one-year-old, likely diethylstilbestrol naïve patient. To the best of our knowledge the patient's 7.4 x 4.5 × 1.4 cm primary vaginal tubulovillous adenoma is the largest ever reported in literature.
Primary vaginal adenomas in diethylstilbestrol naïve patients are exceedingly rare
Vaginal adenomas have malignant potential and must be fully resected
There is no consensus on management of primary vaginal adenomas
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