Verrucous carcinoma of the vulva: diagnosis and treatment

• Autor(a) principal: Campaner,Adriana Bittencourt
• Data de Publicação: 2017
• Outros Autores: Cardoso,Fernanda de Araujo, Fernandes,Gustavo Leme, Veasey,John Verrinder
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Anais brasileiros de dermatologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962017000200243
• topic: Carcinoma, verrucous; Histology; Surgical procedures, elective; Surgical procedures, operative; Therapeutics; Treatment outcome; Vulvar neoplasms

Abstract: Vulvar cancer accounts for less than 1% of malignancies in women. Verrucous carcinoma of the vulva is a rare histological variation, comprising less than 1% of vulvar cancer cases. Although it is characterized as being locally invasive, the condition is not associated with metastatic spreading. Lesions present in the form of a verrucous, ulcerated, and bleeding tumor that can reach large dimensions. This type of tumor can be mistaken for condylomata, both macroscopically and microscopically. We report the case of an 81-year-old patient with a large vulvar tumor presented for eight years, initially considered as a Buschke-Löwenstein tumor. The patient underwent radical vulvectomy with a V-Y advancement flap technique. This type of tumor should be considered by clinicians dealing with condylomatous ulcerative lesions that do not respond to the usual treatment.