• Nazli Hameed


A vaginal leiomyoma is normally a benign smooth muscle tumour in the vagina. These tumours are extremely rare and the aetiology is unknown. The imaging findings are those of a nonspecific well-defined enhancing soft tissue mass centred on the vagina. The lesion may be very large, but is usually under 6 cm in size. Patients are asymptomatic in the early stages. Symptoms arise with the growth of tumour mainly due to compression. Most leiomyomas are not diagnosed clinically but only on histological examination. A case of primary leiomyoma of vagina is presented here.


Young SB, Rose PG, Reuter KL. Vaginal fibromyomata: Two cases with preoperative assessment, resection and reconstruction. Obstet Gynecol 1991;78: 972-974.

Nel CP, Tiltman AJ. Leiomyoma of the vagina. S Afr Med J 1978;54(20):816-7.

Hazra PC, Singhal S, Dahiya P, Sangwan K. Leiomyoma of vagina. J Indian Med Assoc 1998;96(2):60-1.

Qian J, Zheng F, Shi Y. Clinical analysis of 25 cases of leiomyoma of the vagina. Zhonghua Fu Chan Ke Za Zhi 2001;36(3):156-8.

Bennett HG Jr, Erlich MM. Myoma of the vagina. Am J Obstet Gynecol 1941;42: 314-20.

Castle WN, McLaughlin WL. Paraurethral vaginal leiomyoma 1987;30:70-2.

Tramier D, Marinetti C, Jouve MP. Leiomyoma of the vagina: a report on 2 cases. J Gynecol Obstet Biol Reprod (Paris) 1980;9(3):367-8.

Tobon H, Murphy AL, Solasar H. Primary leiomyosarcoma of the vagina: Light & electron microscopic observations. Cancer 1973; 32:450-7.

Sangwan K, Khosla AH, Hazra PC. Leiomyoma of the vagina. Aust N Z J Obstet Gynaecol 1996;36(4):494-5.

Horn LC, Fischer U, Reuter S, Pyttel C. Leiomyosarcoma and leiomyoma of the vagina. Zentralbl Gynakol 1998;120(1):38-41.

Dhaliwal LK, Das I, Gopalan S. Recurrent leiomyoma of the vagina. Int J Gynaecol Obstet 1992;37(4):281-3.

Rywlin AM, Simmons RJ, Robinson MJ. Leiomyoma of vagina recurrent in pregnancy: a case with apparent hormone dependency.

South Med J 1969;62(12):1449-51.

Biankin SA, O'Toole VE, Fung C, Russell P. Bizarre leiomyoma of the vagina: report of a case. Int J Gynecol Pathol 2000;19(2):186-7.