{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:29:31Z","timestamp":1760142571952,"version":"build-2065373602"},"reference-count":8,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,27]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Vulvar leiomyomas are exceedingly rare benign tumours, with fewer than 300 cases reported to date. We report a case of a woman in her 20s with a long-standing vulvar swelling. Clinical suspicion was initially for a Bartholin\u2019s cyst, prompting treatment with oral antibiotics and referral for a Word catheter insertion. After an unsuccessful attempt at a Word catheter, the mass was instead enucleated. Histopathology confirmed a benign vulvar leiomyoma. Vulvar leiomyomas should be considered in the differential diagnosis of persistent vulvar masses and atypical Bartholin\u2019s cysts\/abscesses. Surgical excision remains the definitive treatment and is usually curative, as well as allowing histological analysis for definitive diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2025-268667","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T10:45:20Z","timestamp":1760093120000},"page":"e268667","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["When Word fails: a misdiagnosed vulvar leiomyoma mimicking a Bartholin\u2019s cyst"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4026-0945","authenticated-orcid":false,"given":"Ruair\u00ed","family":"Floyd","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Galway University Hospitals, Galway, Ireland"},{"name":"Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"2025101003451065000_18.10.e268667.1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s13256-022-03743-7","article-title":"Vulvar leiomyoma in an adolescent girl: a case report and review of the literature","volume":"17","author":"Goyal","year":"2023","journal-title":"J Med Case Rep"},{"key":"2025101003451065000_18.10.e268667.2","article-title":"Leiomyoma in vulva: a diagnostic dilemma","volume":"2014","author":"Pandey","year":"2014","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025101003451065000_18.10.e268667.3","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":"2025101003451065000_18.10.e268667.4","doi-asserted-by":"publisher","DOI":"10.1148\/rg.287085095"},{"key":"2025101003451065000_18.10.e268667.5","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-199607000-00001"},{"key":"2025101003451065000_18.10.e268667.6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s40257-015-0112-1","article-title":"Leiomyoma cutis: a focused review on presentation, management, and association with malignancy","volume":"16","author":"Malik","year":"2015","journal-title":"Am J Clin Dermatol"},{"key":"2025101003451065000_18.10.e268667.7","article-title":"A rare case of benign vulvovaginal leiomyoma: Case report and literature review","volume":"77","author":"Ashraf Muhammed","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"2025101003451065000_18.10.e268667.8","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.ajog.2022.03.015","article-title":"Dermal smooth muscle in the labia majora\u2014a female dartos muscle equivalent?","volume":"227","author":"Henkenjohann","year":"2022","journal-title":"Am J Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T10:45:21Z","timestamp":1760093121000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":8,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,10]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-268667"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268667","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}