Vaginal leiomyoma: a rare vaginal tumor

Background/Objectives: While uterine leiomyomas are one of the most common pathologies encountered in gynecology, myomas arising from the vagina are rarely identified and a limited number of cases have been reported so far. With variable locations, diagnosis and surgical treatment of the vaginal leiomyoma can be challenging. Case presentations: We present two cases of vaginal myomas. The first case was of a 43-year-old patient who presented dyspareunia. Clinical examination revealed a vaginal mass, of 2/1 cm, located on the posterolateral left vaginal wall. Ultrasound showed a well confined, hyperechogenic round mass. After vaginal excision and histopathological analysis, the final diagnosis was established – vaginal leiomyoma. The second patient presented it for a routine gynecological examination. A firm nodule was palpated in the posterior vaginal fornix. After transvaginal excision, the diagnosis was histopathologically confirmed – vaginal myoma. Conclusions: Whenever confronted with a vaginal mass, the diagnosis of a vaginal myoma should be kept in mind, as transvaginal excision is the preferred surgical treatment.