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KMID : 1201620100030010032
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Journal of Women s Medicine
2010 Volume.3 No. 1 p.32 ~ p.34
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Vulvar syringomas presenting with a polypoid mass or pruritus: Report of two cases
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Kim Na-Rai
Cho Hyun-Yee
Kim Khae-Hawn
Ro Joo-Young
Lee Soon-Pyo
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Abstract
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Syringoma is a benign eccrine sweat gland tumor and it presents more frequently in women at puberty as multiple, tiny, firm, skin-colored papules at the upper cheek and eyelid. We report here on two cases with an unusual location of syringomas on the vulva. The first case presented with multiple erythematous papules on the labia majora in a 30-year-old woman who presented with pruritus, which waxed and waned according to her menstrual cycle. The second case occurred as a polypoid mass on the prepuce in a 46-year-old woman who had been suffering from groin pruritus. Microscopically, both cases showed aggregates of ducts lined by two-layers of epithelial cells embedded in a dense fibrous stroma. Some of these ducts showed comma-like tails that gave them a tadpole shape. Albeit uncommon in vulvar region, syringoma should be included in the differential diagnosis of a pruritic vulvar lesion, and even a polypoid mass.
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KEYWORD
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Syringoma, Vulva, Pruritus, Polyps
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