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Labial Disorders
Published in S Paige Hertweck, Maggie L Dwiggins, Clinical Protocols in Pediatric and Adolescent Gynecology, 2022
Chelsea A. Kebodeaux, Jennifer E. Dietrich
Rule out other genital abnormalities such as labial mass, CALME (Childhood asymmetric labium majus enlargement), vulvar varicosities, skin conditions or infections, vulvar manifestations of inflammatory bowel disease
The Reproductive System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
The vestibule is surrounded by two folds of skin, the labia minora (singular: labium minor, literally meaning "small lip"). The labia minora join superiorly to form a hood over the clitoris, the female homologue of the male penis. Composed of the corpora cavernosa, which are two small bodies of erectile tissue, the body of the clitoris ends in a small knobby projection called the glans clitoridis. Like the glans of the penis, the glans clitoridis is extremely sensitive to the touch and becomes engorged with blood during sexual excitation.
Bites
Published in Gail Miriam Moraru, Jerome Goddard, The Goddard Guide to Arthropods of Medical Importance, Seventh Edition, 2019
Gail Miriam Moraru, Jerome Goddard
Stable flies have a hardened, conspicuous proboscis (primarily the labium) that can clearly be seen held out in front of the head. The proboscis has the small labella at its tip composed of everted rasping teeth. With a hard thrust, aided by twisting of the labella, the anterior end of the labium is inserted into the host’s skin. The hardened long proboscis enables stable flies to inflict painful bites even through socks, sleeves, and other tight-fitting clothing.
Recurrence of Bartholin gland mucinous adenocarcinoma managed with posterior exenteration: a case report
Published in Journal of Obstetrics and Gynaecology, 2020
Nikolaos Blontzos, Christos Iavazzo, Eirini Giovannopoulou, Natasa Novkovic, Victoria Psomiadou, George Vorgias
A 56-year-old patient attended our outpatient clinic due to a gradually enlarging, painless tumour on the left posterior labium minor, which had first appeared 10 months before, when it had been misdiagnosed as a Bartholin gland cyst. Her medical history included a radiated pituitary gland adenoma. During a physical examination, a regular-margin tumour in the vicinity of the left Bartholin gland was recognised, while bimanual examination and inguinal palpation did not reveal any further pathology. The tumour markers were within normal limits. MRI showed a heterogenous mass in the left side of the vulva measuring 1.8 cm in diameter, expanding to the entrance of the vagina and projecting to the adjacent fat in close proximity to the rectum, with pathological enhancement after the injection of contrast media. Local biopsies revealed a mucinous adenocarcinoma of the Bartholin gland. A left radical hemi-vulvectomy and a left-sided inguinal lymph node dissection were performed and a histopathological analysis confirmed the initial diagnosis, without lymph node infiltration, while the margins of the resection at the vaginal entrance were positive (Figure 1). The tumour was staged as a stage II vulvar carcinoma as a result, and the patient postoperatively received 20 cycles of external beam radiation therapy (EBRT) [40 Gy] combined with three cycles of brachytherapy (14 Gy).
A rare case of primary vulvar endometriosis: case report and review of the literature
Published in Journal of Obstetrics and Gynaecology, 2022
Marco Scioscia, Marco Noventa, Marcello Desgro, Loredana Iaria, Diana Sacchi, Bruna A. Virgilio
A primary vulvar lesion of endometriosis in a 15-year-old girl was reported by Su et al. (2004). The lesion presented as a cystic mass of 6 cm located within the left labium major and extended to the clitoris. This represents the youngest case of vulvar endometriosis in literature. Another case of primary para-clitoris endometriosis was described by Grimstad and Carey (2015) in a patient of 29 years. The lesion of the minor and major labia appeared as a cyst that continued monthly swelling until surgical removal. The lesion recurred 6 years later.
Advanced neuroendocrine carcinoma (Merkel cell carcinoma) of the vulva: a case report and literature review
Published in Southern African Journal of Gynaecological Oncology, 2020
Adam R Botha, Langanani Mbodi, Reubina Wadee
On clinical examination, there was a large fungating vulval mass measuring 6 × 3 cm, predominantly centred on the right labium majus, with involvement of the labium minus and clitoris centrally. There was no involvement of the urethra or vagina. There were palpable right inguinal lymph nodes that were clinically suspicious of involvement by the tumour. Abdominal ultrasound showed no evidence of intra-abdominal metastases and chest X-ray showed no evidence of a primary or metastatic lung tumour.