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Case Report
Vulvar adenofibroma and pregnancy: A case study, at the regional hospital of Thiès
1 Gynecology Department, Thiès Regional Hospital Center (CHART), Thiès, Senegal
2 Health Sciences Training and Research Unit of Thiès, Thiès, Senegal
3 Obstetrics and Gynecology Department, Saint-Louis Regional Hospital Center, Gaston Berger University of Saint-Louis, Senegal
4 Obstetrics and Gynecology Department, Hopital Dantec Dakar, Cheikh Anta Diop University of Dakar, Senegal
5 Obstetrics and Gynecology Department, Tivaouane Hospital Center; Health Sciences Training and Research Unit of Thiès, Senegal
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Lamine Gueye
Gynecology and Obstetrics Department of the Thiès Regional Hospital Center, 1 Avenue Malick SY Prolongée, BP: 34, Thiès,
Senegal
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Article ID: 100165Z08LG2023
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How to cite this article
Gueye L, Thiam M, Thiam O, Bentefouet TL, Gassama O, Ba PA, Dabo N, Cissé ML. Vulvar adenofibroma and pregnancy: A case study, at the regional hospital of Thie?s. J Case Rep Images Obstet Gynecol 2023;9(2):51–54.ABSTRACT
Introduction: Benign vulvar epithelial tumors developing from glandular structures are rare. Given the resemblance of vulvar fibroadenomas to those of mammary locations, some authors have put forward the hypothesis of development from accessory mammary glands.
Case Report: We report a case of hyperalgesic giant vulvar fibroadenoma occurring in a 22-year-old female patient at 28 weeks, 3 days gestation. She was admitted for a painful mass on the right labia majora that had been present for two years, with a remarkable increase in volume during pregnancy. Faced with the acute vulvar pain and the discomfort caused by the mass, the decision to perform a vulvar lumpectomy was made and carried out semi-urgently, leading to the excision of a mass weighing 1103 grams. Microscopic examination revealed an adenofibroma. The patient gave birth vaginally at 38 weeks of gestation to a male baby weighing 3115 grams, 10 weeks after lumpectomy.
Conclusion: Fibroadenoma is a benign tumor located in most cases in the breast, its location in the vulva is rare and can lead to a diagnostic delay. Surgical treatment by complete excision allows healing.
Keywords: Pregnancy, Senegal, Thiès, Vulvar fibroadenoma
SUPPORTING INFORMATION
Author Contributions
Lamine Gueye - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
M Thiam - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
O Thiam - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
TL Bentefouet - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
O Gassama - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
PA Ba - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
N Dabo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
ML Cissé - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Lamine Gueye et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
