Skip to main content

Advertisement

SpringerLink
Log in

Primary adenocarcinoma of the vulva with an unusual histological pattern

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Case report

The authors present a case report of primary adenocarcinoma of the vulva. An ulcerated tumor on the left side of the vulva in a 59-year-old woman was presented. The tumor was excised, and histological examination revealed both papillary and tubulocystic patterns of adenocarcinoma. In some areas, the tumor was composed of cells with a clear cytoplasm. Lymph nodes showed positive in bilateral superficial inguinal nodes but negative in pelvic nodes, showing FIGO stage IVa. Following the operation, both chemotherapy and irradiation therapy were undergone to her. She has been without evidence of disease for more than 5 years following the completion of the treatment.

Conclusion

Because primary adenocarcinoma of the vulva is very rare, therapeutic modality to date is individually selected.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Bolis GB, Macciò T (2000) Clear cell adenocarcinoma of the vulva arising in endometriosis: a case report. Eur J Gynaecol Oncol 21:416–417

    CAS  PubMed  Google Scholar 

  2. Daya D, Murphy J, Simon G (1994) Paravaginal female adnexal tumor of probable Wolffian origin. Am J Clin Pathol 101:275–278

    PubMed  Google Scholar 

  3. Hinchey WW, Silva EG, Guarda LA, Ordonez NG, Wharton JT (1983) Paravaginal Wolffian duct (mesonephros) adenocarcinoma: a light and electron microscopic study. Am J Clin Pathol 80:539–544

    PubMed  Google Scholar 

  4. Kosary CL (1994) FIGO stage, histology, histologic grade, age and race as prognostic factors in determining survival for cancers of the female gynecological system: an analysis of 1973–87 SEER cases of cancers of the endometrium, cervix, ovary, vulva, and vagina. Semin Surg Oncol 10:31–46

    PubMed  Google Scholar 

  5. Markman M (2001) Prolonged symptom-free survival in a patient with persistent primary peritoneal carcinoma and a rising CA-125: a note of caution. Gynecol Oncol 81:509–511

    Article  PubMed  Google Scholar 

  6. Mazoujian G, Pinkus GS, Haagensen DE Jr (1984) Extramammary Paget’s disease—evidence for an apocrine origin: an immunoperoxidase study of gross cystic disease fluid protein-15, carcinoembryonic antigen, and keratin proteins. Am J Surg Pathol 8:43–50

    PubMed  Google Scholar 

  7. Mesko JD, Gates H, McDonald TW, Youmans R, Lewis J (1988) Clear cell (“mesonephroid”) adenocarcinoma of the vulva arising in endometriosis: a case report. Gynecol Oncol 29:385–391

    PubMed  Google Scholar 

  8. Sampson JA (1925) Endometrial carcinoma of the ovary, arising in endometrial tissue in that organ. Arch Surg 10:1–72

    Google Scholar 

  9. Shepherd J, Sideri M, Benedet J, Maisonneuve P, Severi G, Pecorelli S, Odicino F, Creasman W (1998) Carcinoma of the vulva. J Epidemiol Biostat 3:111–127

    Google Scholar 

  10. Sheyn I, Mira JL, Bejarano PA, Husseinzadeh N (2000) Metastatic female adnexal tumor of probable Wolffian origin: a case report and review of the literature. Arch Pathol Lab Med 124:431–434

    PubMed  Google Scholar 

  11. Teter J (1972) A comparative cytological and histological study of an endocervical Gartner duct carcinoma: in the case of prepubertal girl. Acta Pathol Microbiol Scand 233:39–47

    CAS  Google Scholar 

Download references

Author information

Author notes

  1. Madoka Furuhashi

    Present address: Department of Obstetrics and Gynecology, Japanese Red Cross Nagoya First Hospital, 3-35 Michishita-cho, Nakamura-ku, Nagoya 453-8511, Japan

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Handa City Hospital, Handa 475-8599, Japan

    Madoka Furuhashi

  2. Infertility Center, Toyohashi Municipal Hospital, Toyohashi 441-8570, Japan

    Nobuhiko Suganuma

Authors
  1. Madoka Furuhashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nobuhiko Suganuma
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Madoka Furuhashi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Furuhashi, M., Suganuma, N. Primary adenocarcinoma of the vulva with an unusual histological pattern. Arch Gynecol Obstet 269, 287–289 (2004). https://doi.org/10.1007/s00404-002-0427-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-002-0427-z

Keywords

Search

Navigation