Differential Diagnosis of a Unique Vulvar Mass in an Adolescent

Stephanie Chow; Alexis Doyle; Phoebe Hammer; Nichole A Tyson

doi:10.1097/AOG.0000000000004563

Differential Diagnosis of a Unique Vulvar Mass in an Adolescent

Obstet Gynecol. 2021 Dec 1;138(6):931-936. doi: 10.1097/AOG.0000000000004563.

Authors

Stephanie Chow¹, Alexis Doyle, Phoebe Hammer, Nichole A Tyson

Affiliation

¹ Division of Gynecologic Oncology, the Department of Pathology, and the Division of Pediatric Adolescent Gynecology, Obstetrics and Gynecology, Stanford University School of Medicine, and the Stanford University School of Medicine, Stanford, California.

PMID: 34735404
DOI: 10.1097/AOG.0000000000004563

Abstract

Background: Vulvar masses in adolescents have a broad differential diagnosis, yet few reports exist detailing masses of mammary origin.

Case: A nulliparous, healthy 16-year-old adolescent presented with a longstanding, ulcerated, 17-cm vulvar mass of unknown origin and pronounced inguinal lymphadenopathy. The patient underwent a left radical partial vulvectomy, with pathology revealing terminal duct lobular units consistent with polymastia.

Conclusion: Differential diagnosis of a vulvar mass in an adolescent should include polymastia.

Publication types

Case Reports

MeSH terms

Adolescent
Breast Diseases / diagnosis*
Diagnosis, Differential
Female
Humans
Nipples / abnormalities*
Vulva / abnormalities*
Vulvar Neoplasms / diagnosis*

Supplementary concepts

Polythelia, Familial