Sebaceous Gland Hyperplasia at Episiotomy Site: A Causal or an Incidental Association

• Main Authors: Uma Kumar, Annu Nanda, Sangeeta Lamba
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2018-05-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: benign skin; polypoidal lesions; vulva
• Online Access: https://jcdr.net/articles/PDF/11467/33912_F_(AnG)_PF1_(MLS_BT_SHU)_PFA(MLS_SHU)_PB(MLS_SL)_PN(SL).pdf

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.