title: Lobular breast carcinoma metastatic to the vulva: a case report and literature review.
abstract: BACKGROUND
  Six previous reports have documented a vulvar metastasis from breast cancer; one has noted involvement of the Bartholin's gland.
  
  
  METHODS
  A 53-year-old woman presented with an enlarging vulvar mass. Evaluation also identified a breast lesion. Surgical excision confirmed an invasive lobular breast carcinoma with a distant metastatic focus on the vulva.
  
  
  CONCLUSIONS
  This is the first report in the English literature to document a vulvar metastasis from an invasive lobular carcinoma and the second to identify involvement of the Bartholin's gland. Careful gynecologic surveillance is needed in women with breast cancer.
authors.affiliation: Department of Obstetrics and Gynecology, North Shore Health System, North Shore University Hospital, Manhasset, New York 11030, USA.
authors.forename: A W
authors.initials: AW
authors.lastname: Menzin
authors.forename: D
authors.initials: D
authors.lastname: De Risi
authors.forename: T F
authors.initials: TF
authors.lastname: Smilari
authors.forename: P E
authors.initials: PE
authors.lastname: Kalish
authors.forename: V
authors.initials: V
authors.lastname: Vinciguerra
mesh_terms: D001472:Bartholin's Glands / Q000473:pathology; D001943:Breast Neoplasms / Q000473:pathology*; D018275:Carcinoma, Lobular / Q000556:secondary*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014844:Vulva / Q000473:pathology; D014846:Vulvar Neoplasms / Q000556:secondary*