RECURRING PHYLLODES TUMOR IN ABERRANT BREAST-TISSUE OF THE VULVA

A 20-year-old nulligravida woman presented with bilateral cystic nodul es of the vulva, diagnosed after simple excision as benign phyllodes t umor. Breast tissue, which also displayed fibrocystic changes, was als o recognized. Follow-up at 2 months revealed no evidence of disease; h owever, 8 months after surgery she returned with a new mass in the vul va. This was excised and found to be recurrent phyllodes tumor. Althou gh somewhat more cellular than the first lesions, it also was deemed t o be benign based on histological features supported by flow cytometri c DNA studies.