{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:31:59Z","timestamp":1792031519758,"version":"4.4.0"},"reference-count":6,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,1,11]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Leiomyomas of the uterus are the most common benign tumours of women in the reproductive age group, affecting up to 40%\u201350% of women older than 35. In postmenopausal women, the incidence is much lower with an estimated incidence of 1%\u20132% in women in the 60\u201380\u2009years old age group. Vulvar leiomyomas are much rarer than their uterine counterparts, accounting for only 0.03% of all gynaecological neoplasms and 0.07% of all vulvar tumours. These tumours are well-circumscribed, painless, solitary growths that affect females of all ages. Given the presentation and rarity of vulvar leiomyomas, they are often misdiagnosed as a Bartholin gland cyst, abscess or even cancer preoperatively. We present a case of a woman in her 70s with a 1.5\u2009cm firm mass that was palpated on the left lower vaginal side wall and was initially suspected to be a Bartholin gland cyst or abscess. Initial treatment included antibiotics and an incision and drainage. Two weeks later, the mass had grown to 3\u2009cm in size. Wide excisional biopsy revealed the mass to be a vulvar leiomyoma.<\/jats:p>","DOI":"10.1136\/bcr-2023-255002","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T12:05:21Z","timestamp":1709640321000},"page":"e255002","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Vulvar leiomyoma in a postmenopausal woman"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4684-8192","authenticated-orcid":false,"given":"Tanner","family":"Redlin","sequence":"first","affiliation":[{"name":"Sanford Health, Sioux Falls, South Dakota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brain","family":"Bishop","sequence":"additional","affiliation":[{"name":"Sanford Health, Sioux Falls, South Dakota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tory","family":"Durkin","sequence":"additional","affiliation":[{"name":"Sanford Health, Sioux Falls, South Dakota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Hultgren","sequence":"additional","affiliation":[{"name":"Sanford Health, Sioux Falls, South Dakota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"2025082707241960000_17.3.e255002.1","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-022-03705-z","article-title":"Neglected case of a huge Leiomyoma in an elderly postmenopausal woman: a case report","volume":"16","author":"Garg","year":"2022","journal-title":"J Med Case Rep"},{"key":"2025082707241960000_17.3.e255002.2","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1177\/0300060517721796","article-title":"Review of the pathophysiology, diagnosis, and therapy of vulvar leiomyoma, a rare gynecological tumor","volume":"46","author":"Sun","year":"2018","journal-title":"J Int Med Res"},{"key":"2025082707241960000_17.3.e255002.3","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1097\/LGT.0000000000000213","article-title":"Leiomyoma of the vulva","volume":"20","author":"Heller","year":"2016","journal-title":"J Low Genit Tract Dis"},{"key":"2025082707241960000_17.3.e255002.4","article-title":"Leiomyoma of the Vulva: A diagnostic challenge case report","volume":"2016","author":"Kurdi","year":"2016","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082707241960000_17.3.e255002.5","doi-asserted-by":"crossref","first-page":"2045","DOI":"10.3892\/ol.2016.4830","article-title":"Perineal Leiomyoma in a postmenopausal woman: a case report","volume":"12","author":"Sui","year":"2016","journal-title":"Oncol Lett"},{"key":"2025082707241960000_17.3.e255002.6","article-title":"Leiomyoma in Vulva: a diagnostic dilemma","volume":"2014","author":"Pandey","year":"2014","journal-title":"Case Rep Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:24:30Z","timestamp":1756304670000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3,5]]},"published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1136\/bcr-2023-255002"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255002","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}