Giant Fibrovascular Vulval Polyp in a Young Female: A Case Report

Fibrovascular stromal polyps (fibroepithelial polyps; FEPs) are benign tumors occurring in many parts of the body and are infrequently reported in the vulva. They tend to be small, but few present in giant sizes, which adds diagnostic challenges.

A 24-year-old female with a five-year history of a right vulval mass that reached a massive size (35×15×10 cm), complained of a large, painless, soft, pedunculated mass causing discomfort and interference with daily activities. On examination, the mass was firm, not tender, and associated with surface ulceration and infection. The mass was surgically removed and subjected to histological examination to exclude any malignancy. The observation indicated the presence of a fibroepithelial (fibrovascular) polyp; thus, follow-up was advised.

This case report has explored giant FEPs’ presentation, diagnosis, therapeutic approaches, and possible consequences, and comprehensively discussed the findings of earlier studies. A better understanding of giant FEPs can improve their management and guide prescription for tailored treatment, which must involve evaluation of the psychological impact on patient mental health for a comprehensive holistic patient approach.