Lobular breast carcinoma metastatic to the vulva: a case report and literature review.
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.
Menzin
A W
AW
Department of Obstetrics and Gynecology, North Shore Health System, North Shore University Hospital, Manhasset, New York 11030, USA.
De Risi
D
D
Smilari
T F
TF
Kalish
P E
PE
Vinciguerra
V
V
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*