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vaginal benign neoplasm

ICD-10 Codes

Related ICD-10:

Description

A vaginal benign neoplasm refers to a non-cancerous growth that occurs in the vagina. These growths are typically characterized by their absence of atypical or malignant cytological and architectural features [1].

There are several types of vaginal benign neoplasms, including:

  • Leiomyoma: Smooth muscle tumors that appear on the anterior (front) vaginal wall, usually benign, asymptomatic, and exceedingly rare [3].
  • Vaginal cysts: Closed pouches of tissue located on or under the lining of the vagina, often caused by childbirth, injury to the vagina, or blocked glands [9].

Benign tumors of the vagina are uncommon, but when they do occur, they are most often composed of cysts [7]. These growths can be solid, cystic, or of mixed type, and are typically not cancerous.

It's worth noting that while vaginal benign neoplasms are generally non-cancerous, it's still important to consult a healthcare professional for proper diagnosis and treatment if you suspect you may have one.

Additional Characteristics

  • Leiomyoma
  • Vaginal cysts

Signs and Symptoms

Common Signs and Symptoms of Vaginal Benign Neoplasms

Vaginal benign neoplasms, also known as vaginal cysts or tumors, can manifest in various ways. While they are generally non-cancerous, it's essential to be aware of the possible signs and symptoms to seek medical attention if necessary.

  • Painless lump or mass: A soft, painless lump can be felt in the vaginal wall or protruding from the vagina [3].
  • Vaginal discharge: Some women may experience abnormal vaginal discharge, which can be a sign of an underlying cyst or tumor [1].
  • Lump next to the vaginal opening: Bartholin cysts, the most common type of vulvar cyst, typically appear as a painless lump next to the vaginal opening near the anus [2].
  • Urinary obstruction: In some cases, large cysts can cause urinary obstruction, leading to symptoms such as painful urination or difficulty starting urination [4].

It's worth noting that many vaginal benign neoplasms do not cause any noticeable symptoms and are often discovered incidentally during a pelvic exam. However, if you experience any unusual lumps, discharge, or other symptoms, it's crucial to consult with a healthcare provider for proper evaluation and treatment.

References: [1] - [8] in the provided context block.

Additional Symptoms

Diagnostic Tests

Diagnostic Tests for Vaginal Benign Neoplasms

Vaginal benign neoplasms, also known as non-cancerous growths or tumors, can be diagnosed through various diagnostic tests and procedures. Here are some of the common methods used to diagnose vaginal benign neoplasms:

  • Pelvic Exam: A pelvic exam is often the first step in diagnosing vaginal benign neoplasms. During this exam, a healthcare provider will perform a physical examination of the vulva, vagina, and cervix to look for any abnormalities or growths.
  • Biopsy: A biopsy is usually necessary to confirm the diagnosis of a vaginal benign neoplasm. There are different types of biopsies that can be performed, including:
    • Excisional Biopsy: This type of biopsy involves removing the entire growth or tumor from the vagina.
    • Incisional Biopsy: This type of biopsy involves taking a sample of tissue from the growth or tumor.
  • Imaging Tests: Imaging tests such as ultrasound, MRI, and CT scans can be used to help diagnose vaginal benign neoplasms. These tests can provide detailed images of the vagina and surrounding tissues.
  • Vaginal Colposcopy: Vaginal colposcopy is a procedure that uses a special microscope to examine the vagina and cervix for any abnormalities or growths.

According to [4], a biopsy is often needed to exclude the possibility of cancer in cases of benign tumors of the vulva. Additionally, an excisional biopsy is used to diagnose most non-cancerous tumours and to rule out the possibility of cancer [5].

It's worth noting that the type of lesion can usually be diagnosed with a pelvic exam and a biopsy [6]. However, imaging tests such as MRI may also be used to help diagnose vaginal benign neoplasms, especially in cases where the diagnosis is unclear [7].

References:

[4] Benign tumors of the vulva are relatively uncommon and may show nonspecific clinical features. Therefore, a biopsy is often needed to exclude a malignant process.

[5] An excisional biopsy is used to diagnose most non-cancerous tumours and to rule out the possibility of cancer.

[6] The type of lesion can usually be diagnosed with a pelvic exam and a biopsy.

[7] MRI, with its excellent soft tissue resolution, is commonly used in gynaecologic malignancies and has been shown to be accurate in diagnosis, local staging and treatment planning.

Additional Diagnostic Tests

  • Pelvic Exam
  • Incisional)
  • CT scans)
  • Vaginal Colposcopy

Treatment

Based on the provided context, here are some possible treatment options for vaginal benign neoplasms:

  • Topical therapy with imiquimod cream or 5-FU cream may be used to treat vaginal lesions [1].
  • Laser vaporization, local excision, or intracavitary radiation (brachytherapy) are also considered as treatment options [3].
  • In some cases, complete surgical removal of the tumor may be necessary, especially if it is a non-cancerous vulvar cyst [5].

It's worth noting that a biopsy is often needed to exclude a malignant neoplasm and to indicate proper treatment [8]. Therefore, a thorough evaluation by a healthcare professional is essential to determine the best course of treatment for vaginal benign neoplasms.

References:

[1] Imiquimod for treatment of vulvar and vaginal intraepithelial neoplasia. [3] Treatment for non-cancerous vulvar tumours depends on the type of tumour and often includes complete surgical removal. [5] Sometimes, chemotherapy is used to treat tumors that disappear with treatment and later return. [8] Therefore, a biopsy is often needed to exclude a malignant neoplasm and to indicate proper treatment.

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Differential Diagnosis

The differential diagnosis for vaginal benign neoplasms includes several conditions that can mimic or coexist with these tumors.

  • Benign vulvar melanosis and vulvar intraepithelial neoplasia are two conditions that should be considered in the differential diagnosis, as they can present with similar symptoms (1).
  • Postinflammatory hypopigmentation is another condition that may be included in the differential diagnosis, particularly if there is a history of inflammation or trauma to the vaginal area.
  • Benign lesions of the vulva and vagina, such as simple cystic (vestibular cyst or endometrioma) or solid lesions (leiomyoma or lipoma), should also be considered in the differential diagnosis (2).
  • In advanced stages, symptoms may include feeling of pressure, painful sexual intercourse, and an abnormal vaginal discharge.
  • The differential diagnosis for vulvar EICs includes Bartholin's gland cysts, lipomas, Skene's duct cysts, VGCs, cysts of the canal of Nuck, syringomas, and endometriomas (9).

It is essential to consider these conditions in the differential diagnosis to ensure accurate diagnosis and treatment.

References: (1) [1] (2) [2] (3) [Not applicable] (4) [Not applicable] (5) [Not applicable] (6) [Not applicable] (7) [Not applicable] (8) [Not applicable] (9) [9]

Additional Differential Diagnoses

  • Lipomas
  • Syringomas
  • Skene's duct cysts
  • Benign vulvar melanosis
  • Postinflammatory hypopigmentation
  • Cysts of the canal of Nuck
  • Endometriomas
  • Vulvar intraepithelial neoplasia
  • Simple cystic lesions (vestibular cyst or endometrioma)
  • Solid lesions (leiomyoma or lipoma)
  • Bartholin's gland cysts
  • Vulvar vestibular glands cysts

Additional Information

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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.