Multiple vulvar dilated pores in a postmenopausal woman

Winer's dilated pore is an infrequent appendageal tumor characterized by a giant comedone on the face, neck, and upper trunk in adults. We report a 57-year-old woman who developed multiple asymptomatic black papules on both labia majora. Histopathology showed grouped dilated follicles lined by...

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Bibliographic Details
Published in:Anais brasileiros de dermatología 2017-08, Vol.92 (4), p.562-564
Main Authors: Shi, Ge, Li, Wei, Liang, Ni, Wang, Ting-Ting, Zhou, Ying, Fan, Yi-Ming
Format: Article
Language:English
Subjects:
Case Report
Cysts - pathology
DERMATOLOGY
Diagnosis, Differential
Electrocoagulation
Female
Hair Diseases - diagnosis
Hair Follicle - pathology
Humans
Middle Aged
Neoplasms, adnexal and skin appendages
Nevus - pathology
Pathology
Postmenopause
Skin Neoplasms - diagnosis
Skin Neoplasms - pathology
Vulvar neoplasms
Vulvar Neoplasms - diagnosis
Vulvar Neoplasms - pathology
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Summary:Winer's dilated pore is an infrequent appendageal tumor characterized by a giant comedone on the face, neck, and upper trunk in adults. We report a 57-year-old woman who developed multiple asymptomatic black papules on both labia majora. Histopathology showed grouped dilated follicles lined by keratinizing squamous epithelium in the superficial dermis. The superficial lining epithelium and interfollicular epidermis were atrophic, while the deep epithelium showed mild proliferation and melanin pigmentation with a few short projections extending into the surrounding dermis. We diagnosed multiple Winer's dilated pores based on late-onset lesions and pathological features. This patient may represent the first case of multiple vulvar Winer's dilated pores. We suggest that electrocautery may be effective for treating this type of superficial entity.
ISSN:0365-0596
1806-4841
1806-4841
0365-0596
DOI:10.1590/abd1806-4841.20175434