ArticleCureus2025
Concurrent Breast Cancer and Vulvar Leiomyoma in a 62-Year-Old Patient: A Comprehensive Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
The detection of incidental masses in cancer patients, such as vulvar leiomyomas, is rare and can complicate the diagnostic process. We report a case of a 62-year-old woman who presented with a large, neglected breast tumor, which raised clinical suspicion of metastatic breast cancer. A computed tomography scan showed an osteosclerotic pelvic lesion, raising concern for bone metastasis. A whole-body positron emission tomography scan revealed no bone metastasis but detected a hypermetabolic left vulvar mass, presumed to be a Bartholin cyst. Surgical excision confirmed it to be a vulvar leiomyoma. The patient underwent neoadjuvant chemotherapy for breast cancer, followed by a left radical mastectomy with significant residual tumor burden. Currently, the patient is receiving radiotherapy along with adjuvant hormonal treatment, and CDK4/6 inhibitor therapy is scheduled after the radiotherapy. When found incidentally during cancer staging, vulvar leiomyomas can cause diagnostic confusion. This case highlights the importance of a comprehensive and multidisciplinary differential diagnostic approach in the oncological assessment of cancer patients to avoid misdiagnosis and guide appropriate treatment strategies.
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