Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-3 | Issue-02 | 27-30
Case Report
Superficial Myofibroblastoma: Unusual Hymenal Localization
K Harou, J Ouchraa, S Houari, A Aboulfalah, H Rais, A. Soummani
Published : Feb. 9, 2020
Abstract
Superficial myofibroblastoma (SMF) of the lower female genital tract is a rare, recently recognized benign mesenchymal tumor. We report a very rare case of a superficial myofibroblastoma located in the hymenal ring of a 35 years old Virgin women. On examination, she had a circumscribed nodular mass, located in the posterior portion of the hymen, and exteriorized by the vulvar cleft, measuring approximately 34cm. The surgical treatment was based on local resection, and an hymenoplasty to preserve the virginity of our patient. The histopathological examination revealed a hypocellular tumor, composed of spindle tumor cells with myofibroblastic differentiation, and the presence of nuclear polymorphism, making it difficult to distinguich from a sarcamatous origin. The immunohistochemistry evaluation helped to obtain the diagnosis of SMF, by showing reactivity for estrogen and progesterone receptors, desmin, CD34. The knowledge of the clinicopathological aspect of superficial myofibroblastma is essential to distinguish it from the other mesenchymal lesions of the lower female genital tract. The treatment of this particular localization should consider the preservation of the hymenal ring especially in our cultural context.