Bicyclist's vulva: Diagnostic and therapeutic aspects - 11/06/18
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Abstract |
The authors report a case of a rare vulvar condition in a young cyclist, known as bicyclist's vulva. The diagnosis was based on the clinical context (intensive cycling training with repeated saddle sores, responsible for painless unilateral swelling of the labium majus to a significant size and functional discomfort). Imaging examinations were used to characterize the lesion and its relationship with the pelvic organs. The lesion was composed of connective tissue, poorly demarcated and heavily collagenised without necrotic or hemorrhagic areas. Large cicatricial collagen bundles were observed. The fibroblasts revealed no atypia and just a few scattered undilated vessels ere noted. Special staining did not reveal any amyloid deposits. A complementary immunohistochemical analysis with anti-CD 34 antibody showed vascularization that was homogeneous and morphologically normal. The treatment was surgery, and in our case the cosmetic and functional impact of wide surgical excision of the lesion was improved by in situ injection of autologous fat. The pathology findings enabled us to rule out other perineal tumors such as aggressive angiomyxoma of the vulva and to describe the lesion microscopically.
Le texte complet de cet article est disponible en PDF.Keywords : Bicyclist's vulva, Aggressive angiomyxoma, Autologous fat injection, Perineum
Plan
☆ | The cyclist vulva is a rare entity whose treatment can benefit from advances in plastic surgery. |
Vol 47 - N° 6
P. 223-225 - juin 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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