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KMID : 0358420170600040369
Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 4 p.369 ~ p.373
Primary mucinous adenocarcinoma of the vulva, intestinal type
Lee In-Ho

Kim Mi-Kyung
Lee Yoo-Kyung
Hong Sung-Ran
Lee Ki-Heon
Abstract
Primary vulva malignancy is a rare gynecologic malignancy. Most of them are squamous cell carcinomas and adenocarcinomas are much less common. Intestinal type is a rare variant of primary adenocarcinoma of the vulva. It histologically resembles mucinous colonic carcinomas. Origin from cloacal remnants has been suggested but remains speculative. A 64-year-old woman was referred to our clinic with a 1-month history of an itching vulva mass. An incisional biopsy was performed at other hospital and disclosed adenocarcinoma of intestinal type. Extensive workups were performed to detect other underlying carcinomas but revealed nothing abnormal. She underwent wide local excision without lymph node dissection for a primary vulva carcinoma. She received no adjuvant therapy and has been free from recurrent disease for 12 months after surgery. The authors report a rare case and review the relevant literature.
KEYWORD
Adenocarcinoma, mucinous, Intestinal type, Vulva neoplasms
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