A giant fibroepithelial polyp of vulva

Abstract

Fibroepithelial stromal polyps (FEPs) are benign mesenchymal lesions commonly found in cutaneous folds and the lower female genital tract. They are typically small and asymptomatic, but rarely may grow to a large size and mimic other vulvar tumors. We report a case of a giant fibroepithelial polyp of the vulva in a 48-year-old postmenopausal woman presenting with a painless, progressively enlarging pedunculated mass arising from the right labia majora for 2.5 years. The lesion measured approximately 9×5×13 cm and caused discomfort during daily activities. Complete surgical excision under local anaesthesia was performed. Histopathological examination confirmed fibroepithelial stromal polyp. Giant vulvar fibroepithelial polyps are rare and may clinically mimic more aggressive lesions; therefore, histopathological confirmation and surgical excision are essential for definitive diagnosis and treatment.