[Fibroadenoma of the paraurethral glands. A new tumoral entity?].

A eighty year old woman was admitted with "metrorrhagia". Clinical examination founded a nodule in the urethro-vaginal septum. Tumor was easily removed by approach through the anterior vaginal wall and was 2 cms in size. The patient is well since 18 months. Histological study showed a proliferation of ducts surrounded by connective tissue, just like in a fibroadenoma. Duct's epithelium was mostly of urothelial type, sometimes columnar with mucous secreting cells. Both epithelia where sometimes observed in the same duct. The hypothesis of a fibroadenoma of supernumerary mammary gland tissue doesn't seem to be retained: the lesion is not in vulva, there is no mammary gland tissue around and the epithelium is not a breast duct's epithelium. The term "fibroadenoma of para-urethral ducts" is suggested. No similar tumour could be founded in the literature.