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Abstract Background Fibroepithelial stromal polyp (FESP) is a rare benign mass, usually presenting at the vagina. Herein we report, to our knowledge, the first case of contrast-enhanced magnetic resonance imaging (MRI) with diffusion-weighted images of a giant vulvar FESP, and compare the MRI features with the histopathologic results. Case A 14-year-old girl presented with a huge mass as large as 20 cm that originated from the labium majora. Preoperative MRI showed a polypoid mass consisting of a central stalk and surrounding stroma. Different signal intensities on MRI were correlated with various histopathologic features. The mass was cured by complete excision without remnant lesion. Summary and Conclusion Contrast-enhanced MRI with diffusion-weighted images can help us differentiate FESP from other vulvovaginal stromal tumors with a complete evaluation of the external and internal structures and the depth of invasion. [ABSTRACT FROM AUTHOR]

Background Fibroepithelial polyps (FEPs) are benign tumors, of possibly hormone-dependent nature, found in the vulvovaginal region of women of reproductive age. Case A 15-year-old adolescent girl, receiving hormonal contraceptive therapy, who presented with multiple vulvar masses with histopathology consistent with FEP. Summary and Conclusion The spectrum of the morphology of FEPs might make their diagnosis challenging. We describe a rare presentation of vulvar FEPs in an adolescent girl receiving hormonal contraceptive therapy. [ABSTRACT FROM AUTHOR]

Background Hyperhidrosis (excessive sweating) affects 1%-3% of the population. Primary focal hyperhidrosis most commonly affects the axilla, palms, and soles. There are few case reports of hyperhidrosis of the genital region, typically described as inguinal hyperhidrosis or Hexsel's hyperhidrosis. Case A 17-year-old girl presented with 3 years of copious, clear “vaginal” discharge causing significant emotional distress. After extensive gynecologic and urologic workup was negative, further review of her history was notable for excessive axillary sweating. Inguinal hyperhidrosis was suspected and she was treated with topical aluminum chloride hexahydrate with complete resolution of her symptoms. Summary and Conclusions Inguinal hyperhidrosis, compared with other sites, is not widely described in the literature. Awareness of inguinal hyperhidrosis is important because it causes significant social embarrassment but is a treatable condition. [ABSTRACT FROM AUTHOR]

A rare case of a giant vulvar lipoma that developed in an adolescent is presented. A review of the world literature of 15 cases that occurred prior to adulthood confirmed that they tend to occur on the right side of the vulva. [ABSTRACT FROM AUTHOR]

Abstract: Background: Large vulvar hematomas in the pediatric population resulting from straddle-type injuries often require surgical incision and drainage. We report an innovative use of a Word catheter to facilitate recovery following hematoma evacuation. Case: A 14-year-old female presented with a 6-cm right labial hematoma and was initially treated with ice packs and analgesia. The hematoma did not resolve over the following weeks, and she subsequently underwent incision, drainage, and placement of a Word catheter. It was removed painlessly on postoperative day 8, and follow-up revealed no signs of reaccumulation, infection, or scar tissue formation. Summary and Conclusion: Placement of a Word catheter following evacuation of vulvar hematomas is a comfortable alternative to traditional drains to prevent reaccumulation and facilitate recovery. [Copyright &y& Elsevier]