case_images: PMC3175412_01
case_images: The tumor shows a pedunculated large mass arising from the labia minora with a subtle stalk.
case_images: CRIM2011-893261.001.jpg
case_images: PMC3175412_01_CRIM2011-893261.001.jpg
case_images: fig1
case_images: Clinical examination showed a pedunculated bilobulated neoformation of ten centimeters in diameter of tense elastic consistency, at the level of the left labia minora (Figure 1).
case_images: (a) Photomicrograph (hematoxylin-eosin, original magnification x2) showing pedunculated lesion covered with skin. Note the proliferation of mesenchymal cells in richly vascularized fibrous stroma. (b) Photomicrograph (hematoxylin-eosin, original magnification x10) showing a mixture of hypercellular and hypocellular edematous areas with abundant small- to medium-sized vessels.
case_images: CRIM2011-893261.002.jpg
case_images: PMC3175412_01_CRIM2011-893261.002.jpg
case_images: fig2
case_images: Microscopically, the mass consisted of fibroconnective tissue with abundant vessels of various wall thickness (Figures 2(a) and 2(b)).
case_images: (a) Photomicrograph (immunohistochemical staining for desmin, original magnification x10) showing desmin positivity for mesenchymal proliferation. (b) Photomicrograph (immunohistochemical staining for estrogen receptors, original magnification x10) showing positivity of stromal elements for estrogen receptors.
case_images: CRIM2011-893261.003.jpg
case_images: PMC3175412_01_CRIM2011-893261.003.jpg
case_images: fig3
case_images: In immunohistochemistry, tumor cells were strongly positive for desmin and estrogen receptors (Figures 3(a) and 3(b)) and negative for alpha-smooth muscle actin, S-100 protein, cytokeratin, and CD34.