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Multiple Vulvar Lactating Adenomas

Lee, Eung-Seok MD; Kim, Insun MD

doi: 10.1097/AOG.0b013e31821ecaa2
Case Reports
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BACKGROUND: Ectopic breast tissue is defined as glands located outside of the breast. Ectopic breast tissue should be excised because it may develop benign or malignant pathologic processes. Although lactation changes can occur, lactating adenoma in the vulva are extremely rare.

CASE: We report a case of a young woman who presented with multiple vulvar masses during her pregnancies. The masses were excised, and histology confirmed multiple vulvar lactating adenomas.

CONCLUSION: Vulvar lactating adenoma may be misdiagnosed as adenocarcinoma in frozen diagnosis and aspiration cytology if breast tissue is not anticipated. Although the incidence of ectopic mammary tissue of the vulva is low, this possibility should be considered when evaluating patients with mass lesions of the vulva in the appropriate clinical setting.

We report a case of multiple vulvar lactating adenomas; although the incidence is low, the possibility should be considered to avoid misdiagnosis as adenocarcinoma.

From the Department of Pathology, Ansan Hospital, Korea University, Ansan, Korea; and the Department of Pathology, Anam Hospital, Korea University, Seoul, Korea.

Corresponding author: Eung-Seok Lee, MD, Department of Pathology, Ansan Hospital of Korea University, 516 Bunsi, Gojan-Dong, Danwon-Gu, Ansan-Si, Gyeonggi-Do, South Korea, Post code 425–707; e-mail:a9604@chollian.net.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists