2018, Number 04
Ginecol Obstet Mex 2018; 86 (04)
da Silva Oliveira Dumont-Vieira G, Gonçalves-Rebelo AM, Miranda-Correia G, Monteiro-Neiva-Eulálio-Filho W, Carlos-Vieira S
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ABSTRACTBackground: Basal cell carcinoma (BCC) is the most common skin malignancy, representing 75 % of non-melanoma skin cancers. BCC of the vulva is a very rare disease, accounting for only 2 to 3% of vulvar malignancies and less than 1% of all BCC. In the majority of cases occurs in postmenopausal women and usually presents as an asymptomatic lesion. However, itching, pain, bleeding and a sensation of a lump may occur.
Clinic case: We present the case of a 82-year old patient with a BCC located in the vulva. On physical examination, the patient had a lesion with elevated borders and central ulceration on the vulva, near the right side of the clitoris, measuring 2x2 cm, without any suspicious inguinal lymph nodes on physical examination and ultrasonography of the inguinal region. Excision of the lesion with safety margins was performed. She remains asymptomatic without signs of local recurrence or metastases 24 months after surgery.
Conclusion: El BCC por lo general ocurre en mujeres mayores y generalmente se presenta como una lesión asintomática. el examen físico y la biopsia son esenciales para el diagnóstico. La cirugía con márgenes libres es el tratamiento de elección. Aunque tiene un buen pronóstico, las recurrencias locales son comunes.