An Unusual Case of a Vulva Tumor in an Adolescent: A Case Report and Literature Review
Case studies
Hayriye Nihan Karaman Ayyildiz
University of Health Sciences İstanbul Ümranyie Training and Research Hospital image/svg+xml
Zekeriya İlçe
Sakarya Training and Research Hospital image/svg+xml
İlkay Tosun
Sakarya Training and Research Hospital image/svg+xml
Funda Tekkesin
Sakarya Training and Research Hospital image/svg+xml
Published 2026-07-22
https://doi.org/10.15388/Amed.2026.33.1.19
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Keywords

adolescent
vulva
primitive neuroectodermal tumors
extraosseous Ewing’s sarcoma

How to Cite

1.
Karaman Ayyildiz HN, İlçe Z, Tosun İlkay, Tekkesin F. An Unusual Case of a Vulva Tumor in an Adolescent: A Case Report and Literature Review. AML. 2026;33(1):214-221. doi:10.15388/Amed.2026.33.1.19

Abstract

Background: We present the case of a 15-year-old adolescent with swelling in the left vulva that was found to have a tumor measuring approximately 20x15 cm in her vulva. Ewing’s sarcoma/primitive neuroectodermal tumors (ES/PNET) are rare and malignant.
Materials and Methods: Preoperative magnetic resonance imaging and computed tomography performed to screen for metastasis were negative. The mass was surgically excised in total.
Results: Immunohistochemistry showed the mass to be ES/PNET. The patient underwent positron emission tomography-computed tomography which revealed metastasis to inguinal lymph nodes and bone. While under chemotherapy for stage-4 ES/PNET, the patient was found to have lung metastasis. She died due to recurrent chemotherapy complications during treatment.
Conclusions: This rare case highlights that significant of early diagnosis and multidisciplinary approach to treatment of ES/PNET cases.

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Author contributions (CRediT)

  • Hayriye Nihan Karaman Ayyildiz: Conceptualization, Formal Analysis, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing, Visualization
  • Zekeriya İlçe: Methodology, Writing – Review & Editing
  • İlkay Tosun: Formal Analysis, Resources
  • Funda Tekkesin: Formal Analysis, Writing – Original Draft Preparation

References

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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