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A Tru-Cut biopsy was performed to rule out malignancy, after which surgical excision was carried out. Subsequent histopathological analysis confirmed the diagnosis. The case underscores the importance of considering leiomyomas in the differential diagnosis of vaginal masses and highlights the successful management through appropriate surgical strategies with excellent postoperative outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2024-262747","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T12:25:20Z","timestamp":1734697520000},"page":"e262747","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis and management dilemma in leiomyoma of the anterior vaginal wall"],"prefix":"10.1136","volume":"17","author":[{"given":"Prathyusha","family":"Kode","sequence":"first","affiliation":[{"name":"Obstetrics & Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilip 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