Bilateral Giant Mysterious Vulva Tumor in an Adolescent: A Rare Clinical Condition and its Diagnostic Challenges in Resource Constrained Facilities

Vulva tumors are generally rare disease entity encountered in clinical practice of gynecology, and it is especially so at a young age. The spectrum of tumors arising in the vulva may be attributable to inflammatory conditions, infections, dermatological conditions, vulva intraepithelial neoplasia and invasive cancer; thus many specialties in the medical field may be consulted for diagnosis and treatment. Definitive diagnosis requires biopsy (incisional or excision). Other tests may be ordered as supportive or to diagnose infectious or other systemic causes of Vulva swellings. Presented here is a case report and diagnostic challenges of a mysterious vulvar swelling in a 20 years old woman who presented to our Hospital with painless progressively enlarging bilateral vulvar tumor which evolved over a period of four years.