Cellular angiofibroma: A rare labia minor tumor

Abstract

Cellular angiofibroma of the vulva is a rare benign mesenchymal tumor in middle-aged women, first reported in 1997 by Nucci et al. It is important to differentiate cellular angiofibroma from other tumors as these may be more aggressive and recurring. Cellular angiofibroma has a limited potential for local recurrence and is usually treated with complete local excision. A 45-year-old woman was referred to the gynecology appointment with a complaint of a discomfort mass in the right labium minus 1 year before, which has been progressively increasing in size for the past three months up to 6 cm. No change in vulvar skin color, local itching, or bilateral inguinal adenopathy. The tumor was excised, and the histopathological exam revealed a cellular angiofibroma. The patient recovered well and a good aesthetic result was achieved. This is the first case described of the cellular angiofibroma which arises from one of the labia minora. It is bigger in size and growing more rapidly than usual within three months. A simple excision was carried out and until now (12 months after) no recurrence signals.