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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 08

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Ginecol Obstet Mex 2022; 90 (08)

Vulvar basal cell carcinoma: A case report and review of the literature

Luque-González P, Pineda-Mateo M, Valle Aguilar-Martin, Rodríguez-Gómez R, Gutiérrez-Domínguez Á

Language: Spanish
References: 20
Page: 688-694
PDF size: 266.07 Kb.


ABSTRACT

Background: Basal cell carcinoma, or basal cell carcinoma, is the most common nonmelanocytic skin neoplasm in Caucasians. Most of these neoplasms occur on photo exposed skin (almost 85% on the head and neck). Vulvar involvement has a frequency of no more than 1% to 2% of all basal cell carcinomas.
Objetive: To report a case of basal cell carcinoma of vulvar location and to review the literature of recent years.
Clinical case: 74-year-old patient, with no personal history of interest, with an asymptomatic vulvar lesion, with several months of evolution. On genital examination, a 3 cm lesion was found on the left labium majus, pale, non-ulcerated, raised, and stony. The biopsy of the lesion reported: accessory breast tissue. In view of this report, it was decided to excise the lesion and leave a surgical margin of approximately 1 cm. The operation and postoperative period went smoothly. The anatomopathological study of the surgical specimen reported that it was an ulcerated basal cell carcinoma, nodular and superficial, with free resection margins. At two months post-surgical follow-up, the patient was found to be in good condition, asymptomatic.
Conclusions: Although basal cell carcinoma is a very frequent neoplasm, vulvar involvement is very rare. Diagnosis and treatment should be interdisciplinary, with the collaboration of dermatologists and gyneco-oncologists.


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