Giant Fibroepithelial Stromal Polyp of the Vulva

Diffusion-Weighted and Conventional Magnetic Resonance Imaging Features and Pathologic Correlation

Joonghyun Yoo, Bo-Kyung Je, Suk Keu Yeom, Ye Sul Park, Kyung Jin Min, Joo Han Lee

Research output: Contribution to journalArticle

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.

Original languageEnglish
JournalJournal of Pediatric and Adolescent Gynecology
DOIs
Publication statusAccepted/In press - 2018 Jan 1

Fingerprint

Vulva
Polyps
Diffusion Magnetic Resonance Imaging
Magnetic Resonance Imaging
Vagina
Neoplasms

Keywords

  • Adolescent
  • Diffusion magnetic resonance imaging
  • Fibroepithelial stromal polyp
  • Magnetic resonance imaging
  • Vulvar diseases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

@article{dcae5fd6e22d4d2db9d7aefbdf4ac31a,
title = "Giant Fibroepithelial Stromal Polyp of the Vulva: Diffusion-Weighted and Conventional Magnetic Resonance Imaging Features and Pathologic Correlation",
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.",
keywords = "Adolescent, Diffusion magnetic resonance imaging, Fibroepithelial stromal polyp, Magnetic resonance imaging, Vulvar diseases",
author = "Joonghyun Yoo and Bo-Kyung Je and Yeom, {Suk Keu} and Park, {Ye Sul} and Min, {Kyung Jin} and Lee, {Joo Han}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.jpag.2018.08.006",
language = "English",
journal = "Journal of Pediatric and Adolescent Gynecology",
issn = "1083-3188",
publisher = "Elsevier USA",

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TY - JOUR

T1 - Giant Fibroepithelial Stromal Polyp of the Vulva

T2 - Diffusion-Weighted and Conventional Magnetic Resonance Imaging Features and Pathologic Correlation

AU - Yoo, Joonghyun

AU - Je, Bo-Kyung

AU - Yeom, Suk Keu

AU - Park, Ye Sul

AU - Min, Kyung Jin

AU - Lee, Joo Han

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - Adolescent

KW - Diffusion magnetic resonance imaging

KW - Fibroepithelial stromal polyp

KW - Magnetic resonance imaging

KW - Vulvar diseases

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