{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:56:45Z","timestamp":1781269005283,"version":"3.54.1"},"reference-count":10,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,16]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>Hidradenoma papilliferum (HP) is a rare benign adnexal tumour arising from apocrine or mammary-like glands, most commonly in the vulvar region. We report a case of a woman in her early 30s who presented with sudden left-sided vulvar pain and postcoital bleeding secondary to a long-standing nodule that had remained asymptomatic for 3 years. Examination revealed a firm mobile mass on the left labia minora. The lesion was excised under local anaesthesia, and histopathology confirmed HP with characteristic papillary and glandular features. Postoperative recovery was uneventful with no recurrence at 6\u2009months. This case highlights the diagnostic challenge of HP, which may mimic more common vulvar cysts, and underscores the importance of histopathological evaluation to ensure accurate diagnosis and appropriate management.<\/jats:p>","DOI":"10.1136\/bcr-2026-273304","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:00:18Z","timestamp":1781265618000},"page":"e273304","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hidradenoma papilliferum presenting with acute vulvar pain and postcoital bleeding: a diagnostic pitfall"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9896-8203","authenticated-orcid":false,"given":"Rizwana","family":"Anjum","sequence":"first","affiliation":[{"name":"Obstetric & Gynecology, American Hospital Dubai, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rushud","family":"Abdulsalam","sequence":"additional","affiliation":[{"name":"Family Medicine, American Hospital Dubai, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Francis","sequence":"additional","affiliation":[{"name":"Obstetric & Gynecology, American Hospital Dubai, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzan","family":"Mbaideen","sequence":"additional","affiliation":[{"name":"Pathology, American Hospital Dubai, Dubai, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"2026061205001252000_19.6.e273304.1","doi-asserted-by":"crossref","first-page":"663","DOI":"10.2147\/IJGM.S449102","article-title":"Vulvar Hidradenoma Papilliferum","volume":"17","author":"Wang","year":"2024","journal-title":"Int J Gen Med"},{"key":"2026061205001252000_19.6.e273304.2","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0000000000000495"},{"key":"2026061205001252000_19.6.e273304.3","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.jaad.2016.01.034","article-title":"Vulvar hidradenoma papilliferum (HP) is located on the sites of mammary-like anogenital glands (MLAGs): Analysis of the photographs of 52 tumors","volume":"75","author":"El-Khoury","year":"2016","journal-title":"J Am Acad Dermatol"},{"key":"2026061205001252000_19.6.e273304.4","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s00404-010-1784-7","article-title":"Hidradenoma papilliferum of the vulva: case report and review of literature","volume":"284","author":"Duhan","year":"2011","journal-title":"Arch Gynecol Obstet"},{"key":"2026061205001252000_19.6.e273304.5","doi-asserted-by":"crossref","DOI":"10.1080\/01443615.2023.2186781","article-title":"Hidradenoma papilliferum of the perineum; a rare tumour in a rare location","volume":"43","author":"Sa\u011fn\u0131\u00e7","year":"2023","journal-title":"J Obstet Gynaecol"},{"key":"2026061205001252000_19.6.e273304.6","doi-asserted-by":"crossref","first-page":"287","DOI":"10.4103\/IJPM.IJPM_686_16","article-title":"Ectopic hidradenoma papilliferum of eyelid: A rare entity with diagnostic challenge","volume":"61","author":"Shukla","year":"2018","journal-title":"Indian J Pathol Microbiol"},{"key":"2026061205001252000_19.6.e273304.7","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.amsu.2019.11.002","article-title":"Hidradenoma papilliferum of the external auditory canal. 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