title: Breast cancer metastasis to the vulva 20 years remote from initial diagnosis: A case report and literature review.
abstract: •This is the 20th documented case of metastatic breast carcinoma to the vulva.•Greater than 21 years have passed from initial diagnosis to vulvar metastasis.•Existing literature supports long term surveillance in women with invasive lobular carcinoma of the breast.
authors.affiliation: Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, United States.
authors.forename: Natasha R
authors.initials: NR
authors.lastname: Alligood-Percoco
authors.affiliation: Department of Pathology, Penn State Hershey Medical Center, United States.
authors.forename: Meghan S
authors.initials: MS
authors.lastname: Kessler
authors.affiliation: Division of Gynecological Oncology, PinnacleHealth Women's Cancer Center, United States.
authors.forename: Gregory
authors.initials: G
authors.lastname: Willis
keywords: Breast cancer; Carcinoma; Lobular; Metastasis; Metastatic; Recurrence