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Acta Cytol. 2010 Sep-Oct;54(5 Suppl):907-10.

Diagnosis of hidradenoma papilliferum of the vulva on cytologic smears: a case report.

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1
Division of Cytology, Department of Pathology, Tata Memorial Hospital, Dr. E Borges Marg, Parel, Mumbai, India. mayauke@yahoo.co.in

Abstract

BACKGROUND:

Hidradenoma papilliferum is a rare benign tumor of the vulva that occurs mainly in women in the skin of the anogenital region. Clinically it may mimic a carcinoma, so the correct cytologic interpretation of the tumor cells with subsequent careful histologic confirmation is essential for good management.

CASE:

A 44-year-old woman who had a history of hysterectomy 14 years earlier presented with a small, exophytic growth on the labia majora. Fine needle aspiration cytology and vulvar scraping of the lesion were reported as a malignant tumor, and the case was referred to our center for further management. Repeat vulvar smears showed mainly groups and clusters of benign-looking glandular cells and were interpreted as a benign tumor. Subsequent histology confirmed the diagnosis of hidradenoma papilliferum.

CONCLUSION:

This case highlights the cytologic features of hidradenoma papilliferum on cytologic smears. The clinical presentation should not mislead the cytologic interpretation of the tumor cells.

PMID:
21053567
[Indexed for MEDLINE]
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