In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1244 - 31 March Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

40 year old woman with a 5 mm papule on the vulva.

Case posted by Dr Uma Sundram


User Feedback


Guest Romualdo

Posted

Mammary-like gland adenoma of the vulva, in this particular case resembling sclerosing adenosis.

Share this comment


Link to comment
Share on other sites
Dr. Mona Abdel-Halim

Posted

Isn't mammary-like-gland adenoma of the vulva equivalent to hidradenoma papilliferum?
I thought of this lesion as tubular apocrine adenoma, as I did not perceive the typical architecture of hidradenoma papilliferum.

Share this comment


Link to comment
Share on other sites
Guest Romualdo

Posted

Mona, mammary-like gland adenoma of the vulva is not completely equivalent to hidradenoma papilliferum. Tumors resembling breast lesions such as erosive adenomatosis, sclerosing adenosis, ductal adenoma, papillary adenofibroma, etc, are now considered variants of mammary-like gland adenoma. I think this case resembles sclerosing adenosis.

Share this comment


Link to comment
Share on other sites
Guest Jim Davie MD

Posted

[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]Agree with Romualdo. Mammary-like gland adenoma of vulva. [/size][/font][/color]

[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]That said, I can see argument for being a "lumper" for the clinician's sake, and classifying these as a hidradenoma variant (HP or tubulopapillary hidradenoma) if histology is not clear-cut, e.g. no [/size][/font][/color][color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]mammary-like glands (MLG) in adjacent tissue.[/size][/font][/color]

[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]Some structures resemble mammary ducts. There is double-layer with apocrine type secretion. There may be some patchy absence of myoepithelial layer in some of the sclerotic glands but that would not be of concern for a sclerosing adenosis-like lesion.[/size][/font][/color]

Share this comment


Link to comment
Share on other sites


Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...