Cellular angiofibroma (CAF) is a recently described rare soft tissue neopla
sm of the vulva (with only four reported cases) that typically occurs as a
well-circumscribed solid rubbery vulvar mass in middle-aged women. The dist
inct histologic features of bland spindle cells admired with numerous hyali
nized medium to small blood vessels, and a vimentin-positive desmin-negativ
e immunoprofile differentiates this neoplasm from other vulvar tumors such
as angiomyofibroblastoma and aggressive angiomyxoma. Tn this report an addi
tional case of CAF is presented with DNA ploidy analysis and CD99 immunohis
tochemistry.