Hidradenoma Papilliferum of Vulva

Hidradenoma Papilliferum of Vulva

Article
Skin Care
Women's Health
+2
Contributed byKrish Tangella MD, MBAAug 24, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • Papillary Hidradenoma of Vulva
  • Vulvar Papillary Hidradenoma

What is Hidradenoma Papilliferum of Vulva? (Definition/Background Information)

  • Hidradenoma Papilliferum is a rare, benign tumor of the sweat glands. It usually arises from the apocrine sweat gland
  • There are three different types of sweat glands in the skin. These include the following:
    • Apocrine sweat glands
    • Eccrine sweat glands
    • Sebaceous sweat glands
  • Hidradenoma Papilliferum of Vulva is observed on the vulva (external opening of vagina), commonly in middle-aged women. It is a slow-growing and usually solitary tumor that occurs as a painless papule
  • The cause of Hidradenoma Papilliferum of Vulva is largely unknown, though Caucasians have a higher risk for the condition
  • In a majority of cases, no treatment in necessary, unless it causes worrisome symptoms or presents cosmetic concerns in the individual
  • A simple surgical excision of the tumor is considered curative. The prognosis for Hidradenoma Papilliferum of Vulva is excellent with suitable treatment

Who gets Hidradenoma Papilliferum of Vulva? (Age and Sex Distribution)

  • Hidradenoma Papilliferum of Vulva is an uncommon condition that is generally present in young or middle-age women in the age range of 20-50 years
  • Individuals of all racial and ethnic background may be affected, though the tumor is only infrequently seen in African Americans. It is more common in Caucasians

What are the Risk Factors for Hidradenoma Papilliferum of Vulva? (Predisposing Factors)

Currently, the following risk factor has been identified for Hidradenoma Papilliferum of Vulva:

  • Middle-aged women
  • Caucasians

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Hidradenoma Papilliferum of Vulva? (Etiology)

  • The cause of development of Hidradenoma Papilliferum of Vulva is unknown
  • Research is currently being undertaken to identify the relevant causal factors

What are the Signs and Symptoms of Hidradenoma Papilliferum of Vulva?

The signs and symptoms of Hidradenoma Papilliferum of Vulva include:

  • It usually occurs as papules on the skin, usually single, on the vulva
  • It is a slow-growing tumor and is usually painless and non-itchy
  • Some tumors can be pigmented

How is Hidradenoma Papilliferum of Vulva Diagnosed?

A diagnosis of Hidradenoma Papilliferum of Vulva may involve the following:

  • A thorough medical history and physical examination
  • Dermoscopy: It is a diagnostic tool where a dermatologist examines the skin using a special magnified lens
  • Wood’s lamp examination: In this procedure, the healthcare provider examines the skin using ultraviolet light. It is performed to examine the change in skin pigmentation
  • Skin biopsy: A skin biopsy is performed and sent to a laboratory for a pathological examination. The pathologist examines the biopsy under a microscope. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Hidradenoma Papilliferum of Vulva?

Hidradenoma Papilliferum of Vulva is a benign skin lesion and it may cause the following complications:

  • The tumors can ulcerate and bleed. This can cause secondary bacterial or fungal infections to develop (superimposed infections)
  • Pain and discomfort during sex causing emotional stress
  • In rare cases, some tumors may transform into malignant forms

How is Hidradenoma Papilliferum of Vulva Treated?

The treatment of Hidradenoma Papilliferum of Vulva may involve the following:

  • In a majority of cases, removal of the tumor is not necessary, unless it causes bothersome signs and symptoms such as cosmetic issues
  • The treatment is a complete surgical excision, which results in a cure
  • Some women may require reassurance to help with stress and anxiety
  • Follow-up care with regular screening and check-ups are important and encouraged

How can Hidradenoma Papilliferum of Vulva be Prevented?

Currently, there are no known methods to prevent Hidradenoma Papilliferum of Vulva occurrence.

What is the Prognosis of Hidradenoma Papilliferum of Vulva? (Outcomes/Resolutions)

The prognosis for Hidradenoma Papilliferum of Vulva is excellent with appropriate treatment, since it is a benign tumor.

Additional and Relevant Useful Information for Hidradenoma Papilliferum of Vulva:

  • There is no evidence to prove that oily foods and chocolate-based products have an influence on hidradenoma papilliferum formation
  • Cleaning the skin too hard with strong chemicals or soaps may aggravate the skin condition. Care must be taken avoid strong soaps and chemicals that could potentially worsen the condition
  • The presence of dirt on the body is not a causative factor for the condition. However, it helps to be clean and hygienic, which may help the condition from getting worse
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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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