LOBULAR BREAST-CARCINOMA METASTATIC TO THE VULVA - A CASE-REPORT AND LITERATURE-REVIEW

Background. Six previous reports have documented a vulvar metastasis f rom breast cancer; one has noted involvement of the Bartholin's gland. Case. A 53-year-old woman presented with an enlarging vulvar mass. Ev aluation also identified a breast lesion. Surgical excision confirmed an invasive lobular breast carcinoma with a distant metastatic focus o n the vulva. Conclusion. This is the first report in the English liter ature to document a vulvar metastasis from an invasive lobular carcino ma and the second to identify involvement of the Bartholin's gland. Ca reful gynecologic surveillance is needed in women with breast cancer. (C) 1998 Academic Press.