Lobular breast carcinoma metastatic to the vulva: A case report and literature review

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