Giant primary vaginal tubulovillous adenoma: A case report and review of literature

Michael L Creswell; Charmaine Jl Ilagan; Sarah G Downs; Louis A Dainty; Keith Kowalczyk; Nathan M Shaw

doi:10.1016/j.eucr.2021.101734

Giant primary vaginal tubulovillous adenoma: A case report and review of literature

Urol Case Rep. 2021 May 30:38:101734. doi: 10.1016/j.eucr.2021.101734. eCollection 2021 Sep.

Authors

Michael L Creswell¹, Charmaine Jl Ilagan², Sarah G Downs³, Louis A Dainty³, Keith Kowalczyk⁴, Nathan M Shaw⁴

Affiliations

¹ Georgetown University School of Medicine, Washington, DC, USA.
² Department of Pathology, MedStar Georgetown University Hospital, Washington, DC, USA.
³ Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC, USA.
⁴ Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA.

Abstract

Primary adenomas are common in the gastrointestinal tract but exceedingly rare on the periurethral surface and vagina. The pathogenesis remains unknown but vaginal adenomas are hypothesized to arise from vaginal adenosis or embryonic cloacal remnants and possess malignant potential. We present a case of a large primary vaginal tubulovillous adenoma in an eighty-one-year-old, likely diethylstilbestrol naïve patient. To the best of our knowledge the patient's 7.4 x 4.5 × 1.4 cm primary vaginal tubulovillous adenoma is the largest ever reported in literature.

Keywords: Enteric tumor; Tubulovillous adenoma; Urethral mass; Vaginal mass.

Publication types

Case Reports