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KMID : 0882420090760050605
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Korean Journal of Medicine
2009 Volume.76 No. 5 p.605 ~ p.610
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A case of mammary-like glands carcinoma of the vulva
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Kim Young-Saeng
Ku Bon-Ho
Choi Yu-Kyoung
Kim Jong-Hun
Sohn Hee-Jung
Paik So-Ya
Lee Ye-Ri
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Abstract
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Mammary-like glands are poorly recognized structures of normal vulvar skin. Here, we report the first case of primary mammary-like gland adenocarcinoma of the vulva in Korea and discuss the differential diagnosis and treatment of this rare tumor. A 62-year-old woman presented with an itching sensation and palpable mass of the vulva. Abdominal computed tomography showed multiple variable-sized nodules with peripheral rim enhancement in the liver. The pathology of the vulva and liver lesions was consistent with invasive ductal carcinoma of the breast, with positive staining for estrogen receptors, progesterone receptors, HER-2, and GCDFP-15. Ultrasonography and magnetic resonance imaging of the breast were normal. Given the histological findings in conjunction with the absence of a breast lesion, a diagnosis of primary mammary-like gland adenocarcinoma of the vulva was made. She died of pneumonia 7 weeks after the diagnosis.
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KEYWORD
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Mammary-like glands, Vulva, Adenocarcinoma
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