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Verrucous carcinoma of the vulva: diagnosis and treatment* * Work performed at Hospital Irmandade da Santa Casa de Misericórdia de São Paulo – São Paulo (SP), Brazil.

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.

Keywords:
Carcinoma, verrucous; Histology; Surgical procedures, elective; Surgical procedures, operative; Therapeutics; Treatment outcome; Vulvar neoplasms

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