DOI: 10.36347/sjmcr.2016.v04i07.005

Pages: 474-475

Hidradenoma papilliferum is a rare benign adnexal tumor with apocrine differentiation seen in anogenital area of women. We present a 25 year old female presenting with an asymptomatic mass in the vulva. On examination, a single round nodule was seen in the vulva , firm and non-tender. A clinical diagnosis of Bartholin’s cyst was made. On gross examination, a brownish mass measuring 1.5 X 1.5 X 1.5cms was seen which was greyish white on cut section. H &E stained sections showed papillary and complex glandular structures lined by columnar cells with eosinophilic cytoplasm. A diagnosis of papillary hidradenoma was made. This case is presented due to its rarity and to emphasise that while evaluating vulval nodules, hidradenoma needs to be considered, as these lesions lack distinctive clinical characteristics.