Introduction/Background Angiofibroblastoma is a mesenchymal tumor that affects mostly reproductive aged woman although very rare case have been reported in male. It is generally asymptomatic mass that primaily arises in the vulva region The treatment require s simple local excision. We present a case which managed with total vulvectomy, wet dressing and negative pressure wound dressing and reconstructive surgery with full thickness skin graft from both thigh.

Methodology A 29 -year- old female, nullioarous patient presented with five year s hystory of progressive growing of both labia. The mass was 3 × 10 × 3 cm of Rt side and 5 × 12 × 9 cm of Lt vulva that were rubbery firm abd replace both labia major (Fig!).

Results The patient underwent total vulvectomy with partial closure was done, She had everyday wet dressing and colostomy due to risk of wound contamination, She was started negative pressure dressing to help wound healing. Vulva reconstruction surgery and colostomy closure after 2 months care.

Conclusion After total vulvectomy, huge operative wound can be controlled negative pressure dressing and skin graft reconstructive surgery. A gynecologist and plastic surgern cowork could lead to good result for patients.

Disclosure Nothing to disclose