Song Mihae, Chekmareva Marina, Bachmann Gloria, Gibbon Darlene
Rutgers-Robert Wood Johnson Medical School, Department of Obstetrics, Gynecology and Reproductive Sciences, 125 Paterson Street, New Brunswick, NJ 08901, United States.
Rutgers-Robert Wood Johnson Medical School, Department of Pathology, Room MEB 212, 1 Robert Wood Johnson Place, New Brunswick, NJ 08901, United States.
Gynecol Oncol Rep. 2015 Dec 19;15:9-11. doi: 10.1016/j.gore.2015.12.001. eCollection 2016 Jan.
Pilomatrix carcinomas are rare, frequently occurring in older male patients. We report a case of vulvar pilomatrix carcinoma in a 30-year-old woman, the second known reported case occurring on the external genitalia.
A 30-year-old female originally presented at an outside institution for the management of an asymptomatic vulvar mass that was biopsied and read as invasive squamous cell carcinoma. Pathology review at our institution reclassified the vulvar mass as a low-grade pilomatrix carcinoma. The patient underwent radical hemivulvectomy without an inguinal-femoral groin node dissection. She has remained without evidence of disease recurrence for more than 5 years since her diagnosis.
Pilomatrix carcinoma can be confused for an invasive squamous cell carcinoma. Due to its low risk of metastases, a less radical surgical approach can be taken. Consideration of this unusual malignancy is important in the determination of appropriate management.
毛母质癌罕见，常见于老年男性患者。我们报告一例30岁女性外阴毛母质癌病例，这是已知第二例发生于外生殖器的病例。
一名30岁女性最初在外院就诊，因无症状外阴肿物接受活检，诊断为浸润性鳞状细胞癌。我院病理复查将外阴肿物重新分类为低级别毛母质癌。患者接受了根治性半外阴切除术，未进行腹股沟股淋巴结清扫。自诊断以来，她已超过5年无疾病复发迹象。
毛母质癌可能被误诊为浸润性鳞状细胞癌。由于其转移风险低，可以采取不太激进的手术方法。在确定合适的治疗方案时，考虑这种不常见的恶性肿瘤很重要。
