Benign Vaginal Tumors

Benign vaginal tumors arise from vaginal-wall elastic connective tissue; rare; solitary, firm, pedunculated, mobile base, ill-defined capsule; mostly on vaginal wall. Small asymptomatic; large = vaginal heaviness/dyspareunia. Types: fibroid, leiomyoma, hemangioma, lipoma, neurofibroma, myxoma, papilloma (named by histology); usually asymptomatic.

Common Symptoms

Leukorrhea; vaginal bleeding; purulent-bloody discharge; pruritus vulvae; dyspareunia

Causes and Pathogenesis

Etiology: multifactorial, unsettled. Mechanism: (1) From Schwann cells: submucosal multiple nodules, ill-defined, soft elastic; asymptomatic; large = discomfort/dyspareunia. (2) Vaginal leiomyoma: from vaginal/vascular smooth muscle; hyperplastic bundles; small asymptomatic; large = heaviness/dyspareunia. (3) Papilloma: benign mucosal lesion; small flat/filiform/papillary/confluent/cauliflower; leukorrhea/pruritus; rare postcoital bleeding; rare malignant change.

Treatment

Surgery, supportive therapy

Preventive Measures

(1) Treat leukoplakia/chronic inflammation/ulcers. (2) Irregular bleeding/discharge → early diagnosis. (3) Post-treatment follow-up every 3-6 months with cytology.

Department to Visit

It is recommended to visit the Gynecology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.