A Case of Elephantoid Tumour of the Labium Majus

History.?Married?mother of 5 children?last child aged 3 years?all the children are alive and all the labours were normal. For 15 years the patient has had occasional temperature at night. Sometimes she used to have swelling of the right leg which lasted for about 10 or 15 days. For the past 12 years she noticed thickening of her left labium majus, the swelling gradually becoming bigger and bigger. In the beginning it was elongated but finally assumed a globular shape and attained the present size. The growth was rapid for the past 5 or 6 years and so the patient was not able to do her work properly and she is not able to walk comfortably. .The skin is markedly thickened. Local conditions.?A large tumour is seen arising from the left labium majus. The skin is nodular and rough. No ulceration anywhere. No dilated veins visible. Measurements: Vertical .. 12 inches