Sebaceous Gland Hyperplasia at Episiotomy Site: A Causal or an Incidental Association
Published: May 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/33912.11467
Uma Kumar, Annu Nanda, Sangeeta Lamba
1. Specialist, Department of Pathology, ESI Hospital, Rohini, Delhi, India.
2. Professor, Department of Pathology, ESI Hospital, Rohini, Delhi, India.
3. Senior Specialist and Head, Department of Pathology, ESI Hospital, Rohini, Delhi, India.
Correspondence
Dr. Annu Nanda,
Professor, Department of Pathology, ESI Hospital, Rohini, Delhi-110089, India.
E-mail: dr.uma.path@gmail.com, annunanda@rediffmail.com
Sebaceous Gland Hyperplasia (SGH) is a benign skin lesion that commonly occurs on the face of elderly patients. Vulva is an extremely rare site to be reported. Only 20 cases of vulvar SGH have been reported in literature. We report a case of vulvar SGH associated with episiotomy surgery. A 22-year-old female presented in gynaecology Out Patient Department (OPD) with complaints of vulvar swelling for three months. She had spontaneous vaginal delivery one year ago during which mediolateral episiotomy was performed. A clinical diagnosis of fibroepithelial polyp was made and the lesion was excised under local anaesthesia. Haematoxylin and eosin stained sections showed numerous sebaceous glands in a lobular arrangement associated with an infundibulum. A diagnosis of SGH was rendered on histopathology. Though, a rarity, vulvar SGH should be kept in mind while dealing with vulvar polypoidal lesions.
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