Case Report | JOGCR. 2020; 5(2): 54-56 Volume 5, Spring 2020 Journal of Obstetrics, Gynecology and Cancer Research Journal of Obstetrics, Gynecology and Cancer Research | ISSN: 2476-5848 Perineal Leiomyoma: A Case Report Sarmad Nourooz Zadeh 1 , Sedigheh Ghasemian Dizajmehr *2 , Farzaneh Rashidi Fakari 3 , Hania Fattahi 4 , Mohsen Ghasemian 5 1. Medical Doctor, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran 2. Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran 3. PhD, Assistant Professor, Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran 4. Resident of Pathology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran 5. Medical Doctor, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran Introduction Leiomyomas are tumors of the soft tissues. As the most commonly occurring benign neoplasm of the reproductive system in women of childbearing age, these tumours usually develop within the uterus (1). The incidence of myomas within the perineum is absolutely rare and only a few reports have been made on the matter. Although the etiology of these tumors is not completely understood, it is known that myomas are especially dependent on reproductive hormones and occur only, but for a sole exception, in the reproductive age (2). A host of other risk factors have also been suggested to affect the development of myomas, the degree of their influence is yet to be determined. We herein report a case of perineal myoma in a virgin woman, which was successfully excised and further evaluated. Case Report A 35 year old virgin woman was admitted to the gynaecology department of Shahid Motaharri hospital (Urmia, Iran) in 3 years ago. Her complaint referred to a mass in her perineum which had first exhibited signs of presence 5 years prior to her referral and had increased in size in a steady manner ever since. The mass had caused no gynaecologic, rectal or urinary symptoms. Clinical examination revealed a painless, mobile mass (6cm*6cm) with [unknown consistency] in the right perineum with extension to the distal of the labium majus of the same side. Due to cultural considerations, the virginity of the patient prevented us from exploring her genitalia further. Examination of the rectum revealed no abnormalities. Colour Doppler ultrasound was performed to determine vascularity and precise dimensions: a heterogeneous mass (5 cm*5 cm*4 cm) was observed in the distal section of the right labium majus with extension to the perineum of the same side. A high vascular flow and decreased resistance (RI: 0.42) was present throughout the mass. The mass exhibited rich vascularization. Excision of the mass was performed under spinal anaesthesia. A 4 cm elliptical incision was made lateral to the Hymen, approximately 2 cm to the right of the Article Info ABSTRACT 10.30699/jogcr.5.2.54 Background & Objective: Leiomyomas are tumors of the soft tissues. The incidence of myomas within the perineum is absolutely rare and only a few reports have been made on the matter. We herein report a case of perineal myoma in a virgin woman, which was successfully excised. Case Report: We present a 35-year-old virgin woman, with complaint referred to a mass in her perineum which had first exhibited signs 5 years prior to the time she referred to us and had increased in size in a steady manner ever since. The mass had caused no gynaecologic, rectal or urinary symptoms. Clinical examination revealed a painless, mobile mass (6cm*6cm) with [unknown consistency] in the right perineum with extension to the distal of the labium majus of the same side. Conclusion: Treatment of symptomatic leiomyomas relies on surgical excision of the mass. However, the surgical method of choice is a matter of debate in previous studies. Keywords: Leiomyoma, Perineum, Tissue Received: 2020/08/31; Accepted: 2020/09/13; Published Online: 30 Oct 2020; Use your device to scan and read the article online Corresponding Information: Sedigheh Ghasemian Dizajmehr , Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran, Email: dr.ghassemian@yahoo.com Tel:+98 9144712901 Copyright © 2020, This is an original open-access article distributed under the terms of the Creative Commons Attribution-noncommercial 4.0 International License which permits copy and redistribution of the material just in noncommercial usages with proper citation.