Giant Lipoma of the Left Labium Majus: A Clinical Diagnostic Challenge

Lipoma is aptly termed as an "ubiquitous tumor," as it can occur anywhere in the body. A labial lipoma is rare, sporadic in occurrence, and a giant lipoma is extremely uncommon and can have sexual and psychologic implications. Case: A 30-year-old female presented with an insidiously growing swelling in the left labia majora. Although a differential diagnosis of a Bartholin's cyst and a femoral hernia were considered, they were ruled out after a detailed clinical examination. Labial lipoma was a diagnosis of exclusion, as it is a rare entity in this anatomical region. Sonographic visualization of the lesion was suggestive of lipomatous origin. The lesion was excised in toto and was histopathologically confirmed to be a giant (> 5 cm) lipoma of the labium majus. Results: This patient has been kept under close follow-up, and, at the end of 2 years, there has been no recurrence. Conclusions: Although labial lipomas are uncommon, they should be considered in the differential diagnosis of vulvar swellings. A complete excision is essential to avoid future recurrences. (J GYNECOL SURG 33:212)