Bombay Hospital Journal, Vol. 52, No. 1, 2010 105 Introduction A variety of lesions may present as mass at the vulva, such as Bartholin cyst, mucus cyst, epidermal cyst, fibroma, fibromyoma, lipoma, haemangioma. Lipomas are most common soft tissue tumour derived from mesenchymal cells, but vulval lipomas are so rare that very few cases are reported in world literature. 1-7 We present a case of vulvar lipoma in a 40 year old female. She underwent surgical excision. Follow up of six month has shown her to be asymptomatic. Case Report A 40 year old female presented to us with complaints of soft mobile mass at lower end of right labia majora since 2 years, which was slowly growing in size and causing discomfort while walking. There was no history of any other similar swelling. On examination there was a soft mass around 5 cms x 4 cms which was freely mobile and slip sign was positive (Fig. 1). Ultrasonography revealed a fatty mass of size 4.5 cms × 3.5 cms in the subcutaneous plane of right labia majora. Fine Needle aspiration cytology (FNAC) confirmed the diagnosis. Excision was done under saddle block. Wound was closed primarily with removal of excess of skin. Histopathological evaluation showed an encapsulated tumour of size 4.5 x 3.5 cms composed of lobules of mature adipocytes confirming it to be a lipoma (Fig. 2). Post-operative course was uneventful. Follow up of 6 months has shown her to be disease and symptom free. Discussion Lipomas are the most common soft tissue *Lecturer; **Associate Prof.; ***Resident; Department of Surgery, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai - 400 008. Vulvar Lipoma – A Rare Case Report Pravin N Tungenwar*, Girish D Bakhshi**, Mukesh M Suryawanshi***, Ketul V Shah*** Abstract Lipomas are the most common benign tumours of soft tissues. However, conventional lipomas have been reported only rarely as presenting in the vulva. We present a case of vulvar lipoma in a 40-yr-old woman which is the 4 th case reported in adults. Fig. 1 : Mass in the lower end of right labia majora Fig. 2 : Photograph of the excised specimen