Giant Angiokeratoma of Fordyce over the Vulva in a Middle-Aged Woman: Case Report and Review of Literature
A 45-year-old female presented with multiple asymptomatic soft papules and nodules over the vulva of two years’ duration. The lesions started spontaneously on the right side of the vulva as small papules and gradually grew to attain the present size. Lesions were asymptomatic. There was history of occasional bleeding on touch from the lesions. The patient was married 20 years back and there was no history of obstetric complications during delivery. There was no history of trauma or surgery over the vulva. On examination multiple 0.5 to 1 cm bluish papules and nodules were seen on either side of the vulva []. On palpation, they were soft to firm, non-tender, pedunculated tumors. Per vaginal and colposcopic examination of the vagina was normal. Examination of the perianal area was normal. The tumors were excised by electrocautery under local anesthesia under aseptic precautions and sent for histopathological examination. Histopathology revealed hyperkeratosis, irregular acanthosis and papillomatosis of the epidermis and multiple thin-walled vessels containing red blood corpuscles (RBCs) in the papillary dermis, confirming the diagnosis of angiokeratoma of Fordyce [Figures and ].