Abstract
BackgroundHidradenoma papilliferum is an uncommon, benign, cystic, papillary tumor that occurs almost exclusively in the female anogenital region. Bartholin's abscess is also an anogenital cystic lesion caused by obstruction of Bartholin's duct with an overlying infection. Concomitant presentation of Bartholin's abscess and Hidradenoma papilliferum is unique.Case presentationA 43-year-old African American woman presented with a painful cystic mass on the left labia majora. A preoperative diagnosis of Bartholin's abscess was made. During excision and draining, an additional tan-brown dermal nodule was removed which demonstrated histological features of Hidradenoma papilliferum.ConclusionWe present what we believe to be the first case of Bartholin's abscess arising in hidradenoma papilliferum and its clinical significance.
Highlights
Hidradenoma papilliferum is an uncommon, benign, cystic, papillary tumor that occurs almost exclusively in the female anogenital region
We present what we believe to be the first case of Bartholin's abscess arising in hidradenoma papilliferum and its clinical significance
We report to the best of our knowledge the first case of Bartholin's abscess arising in hidradenoma papilliferum
Summary
Hidradenoma papilliferum (HP) is an uncommon, benign, cystic, papillary tumor that occurs primarily in the vulva of Caucasian women, thought to arise from anogenital glands, and exhibits both eccrine and apocrine differentiation, with the latter being more common [1]. Bartholin's abscess is an anogenital cystic lesion caused by partial or complete ductal obstruction with abscess formation subsequently following infection [2]. Concomitant presentation of Bartholin's abscess and Hidradenoma papilliferum is unique. We report to the best of our knowledge the first case of Bartholin's abscess arising in hidradenoma papilliferum. Tively, the lesion was diagnosed as Bartholin's abscess. The papillary projections and cystic areas were lined by basophilic cuboidal to columnar cells with outer compressed myoepithelial cells (Fig. 3). The diagnosis of Bartholin's abscess arising in hidradenoma papilliferum was made.
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