Innocence in Disguise: Vulvar Hidradenoma Papilliferum

The vulvar region contains a high concentration of apocrine, eccrine, anogenital mammary-like glands and pilosebaceous units. Vulvar hidradenomas are benign tumours originating from anogenital mammary-like glands and typically manifest as small, painless nodules on the vulva. They can clinically resemble pyogenic granulomas or granuloma inguinale. The preferred treatment method is local surgical excision. This case report discusses two cases of women diagnosed with vulvar hidradenomas, highlighting their characteristic clinical presentation and management approach. These cases serve as a reminder for clinicians to consider this rare tumour in differential diagnoses of nodular lesion on vulva with beefy red erosive surface, alongside conditions such as sexually transmitted infections and other benign or malignant tumours.